Carcinogenicity and Mutagenicity of Nanoparticles - Biozid
Transcription
Carcinogenicity and Mutagenicity of Nanoparticles - Biozid
TEXTE 50/2014 Carcinogenicity and Mutagenicity of Nanoparticles – Assessment of Current Knowledge as Basis for Regulation TEXTE 50/2014 Environmental Research of the Federal Ministry for the Environment, Nature Conservation, Building and Nuclear Safety Project No. (FKZ) 3709 61 220 Report No. (UBA-FB) 001725/E Carcinogenicity and Mutagenicity of Nanoparticles – Assessment of Current Knowledge as Basis for Regulation by Katrin Schröder Christina Pohlenz-Michel Nelly Simetska Jens-Uwe Voss Sylvia Escher Inge Mangelsdorf Fraunhofer Institute for Toxicology and Experimental Medicine, Hannover On behalf of the Federal Environment Agency (Germany) Imprint Publisher: Umweltbundesamt Wörlitzer Platz 1 06844 Dessau-Roßlau Tel: +49 340-2103-0 Fax: +49 340-2103-2285 [email protected] Internet: www.umweltbundesamt.de /umweltbundesamt.de /umweltbundesamt Study performed by: Fraunhofer Institute for Toxicology and Experimental Medicine Nikolai-Fuchs-Str. 1, 30625 Hannover Study completed in: September 2013 Edited by: Section II 1.2 Toxikologie, Gesundheitsbezogene Umweltbeobachtung Petra Apel Publication as pdf: http://www.umweltbundesamt.de/publikationen/carcinogenicity-mutagenicity-of-nanoparticles ISSN 1862-4804 DessauRoßlau, July 2014 The Project underlying this report was supported with funding from the Federal Ministry for the Environment, Nature Conservation, Building and Nuclear safety under project number FKZ 3709 61 220. The responsibility for the content of this publication lies with the author(s). Abstract Carcinogenicity studies with several types of respirable particles and fibres indicate a carcinogenic potential from inhalation and there is concern that the carcinogenic potency of nanomaterials is higher than for the corresponding micromaterials. In this research project, long term studies with nanomaterials were used to identify relevant indicators of toxicity of nanomaterials including possible precursors of carcinogenicity. Due to the heterogeneous characteristics of the materials and the different study types, a structured and systematic data analysis was performed by means of a relational database (PaFtox). More than 100 inhalation studies and instillation studies with rodents with Carbon Black, silicon dioxide, metals or metal oxides, and carbonnanotubes were analysed. Effects like neutrophil number, total protein and LDH content in the bronchioalveolar lavage fluid (BALF) are frequently measured and are sensitive indicators of toxicity of all particles investigated. In addition, infiltration of inflammatory cells in the lung and increased lung weights are often observed. The LOELs of nano-objects are generally lower than the LOELs of the corresponding larger objects and they differ by several orders of magnitude between analysed substances: Silver was identified as the most toxic nanomaterial within our selection of nanomaterials. Sustained inflammation can be seen as one possible early event in the sequence of cancer development and nanomaterials can be grouped on basis of their potential to generate inflammation. A preliminary LOEL (based on inflammatory parameters) of 0.1 mg/m3 (exposure 24 h/d, 7 d/wk) is proposed to distinguish the so called “inert” nanomaterials (e.g. Carbon Black) from nanomaterials with specific toxicity. Our data further support to have nanotubes in a separate group. Kurzbeschreibung Kanzerogenitätsstudien mit verschiedenen alveolengängigen Partikeln und Fasern deuten auf ein kanzerogenes Potential bei inhalativer Exposition hin und es wird befürchtet, dass dieses Potential bei Nanomaterialen höher ist als beim entsprechenden Mikromaterial. In diesem Forschungsprojekt wurden Langzeitstudien mit Nanomaterialien analysiert, um relevante Indikatoren der Toxizität einschließlich möglicher Vorstufen der Kanzerogenität von Nanomaterialien zu identifizieren. Eine strukturiertere und systematische Analyse der heterogenen Materialeigenschaften und der unterschiedlichen Studientypen wurde mit Hilfe einer relationalen Datenbank durchgeführt. Mehr als 100 Inhalations- und Instillationsstudien mit Carbon Black, Siliziumdioxid, Metallen oder Metalloxiden an Nagern wurden analysiert. Häufig werden Effekte wie Neutrophilen-Anzahl, Gesamtprotein- und LDH-Gehalt in der bronchio-alveolären Lavageflüssigkeit (BALF) gemessen, sie sind sensitive Indikatoren für die Toxizität der untersuchten Partikel. Zudem werden oft Infiltration von Entzündungszellen in der Lunge und erhöhtes Lungengewicht beobachtet. Die LOELs der Nano-Objekte sind tendenziell niedriger als die LOELs der entsprechenden größeren Objekte und sie unterscheiden sich durch mehrere Größenordnungen: In unserer Auswahl an Nanomaterialien hatte Silber das höchste toxische Potential. Chronische Entzündung kann als möglicher früher Vorläufer der Krebsentstehung betrachtet werden, und Nanomaterialien können anhand ihres Potentials Entzündungen zu verursachen gruppiert werden. Ein vorläufiger LOEL (basierend auf Entzündungsparametern) von 0.1 mg/m3 (Exposition 24 h/d, 7 d/w) wird vorgeschlagen, um die sogenannten “inerten” Nanomaterialien (z.B. Carbon Black) von Nanomaterialien mit spezifischer Toxizität zu unterscheiden. Unsere Daten unterstreichen den Ansatz, dass Nanotubes in eine separate Gruppe gehören. Table of Contents List of Figures List of Tables Abbreviations 1 2 Introduction.............................................................................................................................................. 1 1.1 Hazard and risk of nano-objects ....................................................................................................... 1 1.2 Nanomaterials –Definitions.............................................................................................................. 2 Methods ................................................................................................................................................... 3 2.1 Literature search ............................................................................................................................... 3 2.1.1 Approach..................................................................................................................................... 3 2.1.2 Results......................................................................................................................................... 4 2.2 Data analysis by means of a relational database .............................................................................. 5 2.2.1 Database Structure ...................................................................................................................... 5 2.2.2 Particle and fibre characterisation............................................................................................... 7 2.2.3 Selection criteria for studies and materials ................................................................................. 7 2.2.4 Study design................................................................................................................................ 8 2.2.5 Toxicological data ...................................................................................................................... 9 2.2.6 Quality assurance ........................................................................................................................ 9 2.2.7 Database queries ....................................................................................................................... 12 3 Data analysis .......................................................................................................................................... 13 3.1 Particle and fibre characterisation .................................................................................................. 13 3.1.1 Specification of primary particles and fibres by producer / supplier (as produced) or by authors (as received) ........................................................................................................... 13 3.1.2 Specification of secondary particles and fibres by authors (as administered) .......................... 15 3.2 Studies included ............................................................................................................................. 16 3.2.1 Routes and study durations ....................................................................................................... 16 3.2.2 Species ...................................................................................................................................... 19 3.2.3 Dose levels, NOELs and LOELs .............................................................................................. 19 3.3 Particles included ........................................................................................................................... 20 3.4 Parameter / Effect analysis ............................................................................................................. 21 3.4.1 Target / organs and effects ........................................................................................................ 21 3.4.2 Reversibility of effects .............................................................................................................. 25 3.4.3 Parameters affecting toxicity of particles and fibres................................................................. 28 I 3.4.3.1 Composition.............................................................................................................................. 29 3.4.3.2 Tubes versus particles ............................................................................................................... 34 3.4.3.3 Diameter and specific Surface .................................................................................................. 35 3.4.4 Genotoxicity of nano-objects in vivo........................................................................................ 37 3.4.5 Carcinogenicity ......................................................................................................................... 39 3.5 Correlations .................................................................................................................................... 41 3.5.1 Cell counts ................................................................................................................................ 41 3.5.2 Alveolar macrophages .............................................................................................................. 46 3.5.3 Total Protein and lactate dehydrogenase .................................................................................. 46 3.5.4 Infiltration ................................................................................................................................. 50 3.5.5 Lung weight .............................................................................................................................. 51 4 Discussion .............................................................................................................................................. 54 4.1 Results ............................................................................................................................................ 54 4.1.1 Carcinogenicity ......................................................................................................................... 54 4.1.2 Availability of studies for different particles and fibres ........................................................... 54 4.1.3 Particle and fibre characterisation............................................................................................. 55 4.1.4 Application routes ..................................................................................................................... 56 4.1.5 Dose measure ............................................................................................................................ 58 4.1.6 Target organs and important effects ......................................................................................... 59 4.1.7 New parameters ........................................................................................................................ 59 4.1.8 LOELs....................................................................................................................................... 60 4.1.9 Exposure duration versus time point ........................................................................................ 60 4.1.10 Overload ................................................................................................................................... 61 4.1.11 Reversibility of effects .............................................................................................................. 61 4.1.12 Genotoxicity ............................................................................................................................. 61 4.2 Concepts for Grouping of nanomaterials ....................................................................................... 61 4.2.1 Groups proposed in the literature.............................................................................................. 61 4.2.2 Grouping of nanomaterials for optimized testing strategies ..................................................... 64 5 Conclusion and outlook ......................................................................................................................... 67 6 References.............................................................................................................................................. 69 7 Appendix................................................................................................................................................ 72 7.1 Publications in PaFtox database (October 2012) ........................................................................... 72 7.2 Data analysis by databases ............................................................................................................. 75 7.2.1 NanoSafety Cluster ................................................................................................................... 75 II 7.2.2 DaNa ......................................................................................................................................... 75 7.2.3 Database on Research into the Safety of Manufactured Nanomaterials ................................... 75 7.2.4 Special features of the PaFtox database .................................................................................... 77 7.3 Study reports from PaFtox database (October 2012) ..................................................................... 77 III List of figures Fig 1: Taxonomy of Nanomaterial; adapted from ISO/TR 12802:2010 & ISO/TS 80004-4:2011 ............. 3 Fig 2: Data entry mask of the PaFtox database ........................................................................................... 6 Fig 3: MMAD in inhalation studies (left) and hydrodynamic diameter in instillation studies (right) ............................................................................................................................................. 16 Fig 4: Overview effected targets / organs .................................................................................................. 22 Fig 5: Number of effects per category time point in whole body inhalation studies on carcinogenicity (query counted effects at minimum dose and earliest time point) ........................ 40 Fig 6: Effect – “LOELs” per particle in whole body inhalation studies on carcinogenicity (query counted effects at min dose and first time point) ........................................................................... 41 Fig 7: Correlation of relative number of neutrophils with particle mass or particle surface area ............. 45 Fig 8: Correlation of total protein with particle surface area..................................................................... 47 Fig 9: Correlation of LDH with particle surface area ................................................................................ 49 Fig 10: Predicted fractional deposition of inhaled particles (Oberdörster et al., 2005) ............................... 56 Fig 11: Illustration of grouping of nanoparticles based on material properties and/or biological effects (from Oomen et al. (2013)). ............................................................................................... 67 IV List of Tables Tab. 1: Concept of literature search .............................................................................................................. 4 Tab. 2: Examples for effects in BALF and lung ......................................................................................... 11 Tab. 3: Primary characterisation in studies with nano-objects .................................................................... 13 Tab. 4: Available information for reference material “Min-U-Sil 5”.......................................................... 14 Tab. 5: Secondary characterisation in studies with nano-objects ................................................................ 15 Tab. 6: Study design of inhalation studies................................................................................................... 17 Tab. 7: Study design of instillation studies ................................................................................................. 18 Tab. 8: Types of studies in rats and mice ..................................................................................................... 19 Tab. 9: Number of different dose levels ...................................................................................................... 20 Tab. 10:Particles included ............................................................................................................................ 20 Tab. 11:Number of studies for different substances and particle diameter categories and application routes ........................................................................................................................... 21 Tab. 12:Observed effects .............................................................................................................................. 23 Tab. 13:Parameter / Effects beyond the respiratory tract ............................................................................. 24 Tab. 14:Parameter / Effect of study evaluation (+) or (-) postexposure in whole body inhalation studies ............................................................................................................................................ 26 Tab. 15:Parameter / Effects (number) appearing only in the postexposure period at LOEL per time point in studies with whole body exposure. ................................................................................... 28 Tab. 16:LOELs per route, substance and time point .................................................................................... 29 Tab. 17:Parameter / Effects occurring only with heavy metals and oxides.................................................. 30 Tab. 18:Parameter / Effects occurring only with silicon dioxides ............................................................... 33 Tab. 19:Parameter / Effects occurring only with carbon nanotubes............................................................. 34 Tab. 20:Influence of particle diameter on LOELs........................................................................................ 36 Tab. 21:Influence of specific surface on LOELs.......................................................................................... 37 Tab. 22:Genotoxic effects (measured and percentage positive effects) ....................................................... 38 Tab. 23:“LOELS” for positive genotoxic effects ......................................................................................... 39 Tab. 24:Investigation of cells in different targets (statistically significant increased/measured or investigated) ................................................................................................................................... 42 Tab. 25:Frequency of increased / measured cell counts in BALF per time point category ......................... 43 Tab. 26:Time related distribution of measurements of total protein and lactate dehydrogenase ................. 46 Tab. 27:Number of studies positive infiltrations .......................................................................................... 50 Tab. 28:“LOELs” for infiltration and macrophage infiltration .................................................................... 51 Tab. 29:Minimum and Maximum percentages of burden of the lung weight .............................................. 52 Tab. 30:Minimum and maximum of percentage change of lung weight...................................................... 53 V Tab. 31:“LOELs” for lung weight ................................................................................................................ 54 Tab. 32:Comparison of application routes ................................................................................................... 58 VI List of Abbreviations BALF Bronchioalveolar lavage fluid LDH Lactate dehydrogenase LOEL Lowest observed effect level MMAD Mass median aerodynamic diameter NOEL No observed effect level VSSA Volume-specific surface area PaFtox Particle and Fibre toxicity VII 1 1.1 Introduction Hazard and risk of nano-objects The general population is exposed to nanoparticles mainly in larger cities in form of fine dust. Workers can be additionally exposed during the production and processing of nano-objects. Furthermore, the number of consumer products based on nanotechnology is raising (e.g. shoe sprays). Nano-objects differ regarding their physico-chemical properties (e.g. size, specific surface, zeta potential) from larger particles or fibres, but cause similar effects (e.g. inflammation in the lung or other toxic effects including cancer). However, based on the same particle mass, they are more toxic, among other reasons due to their larger particle surface (Oberdörster et al., 2005). Therefore there is concern for higher carcinogenic potency of nano-objects. The data basis concerning carcinogenicity of nano-objects is very limited with respect to inhalation studies. Also intratracheal studies as surrogate for inhalation studies, are limited. To our knowledge nanoparticles and fine particles were carcinogenic in all existing inhalation and intratracheal studies with exposure durations longer than 2 years (Roller, 2009). Most of them caused tumours at all concentrations tested. However, even at the lowest dose levels often unrealistic high dose levels were used that overwhelm the defence mechanisms in the lung (overload). Similarly, in vitro studies on genotoxicity or ROS-generation are virtually all positive, in many cases at cytotoxic concentrations (Gonzalez et al., 2008; Roller, 2011; Ziemann et al., 2011). In addition, no clear correlation of the probability of a positive in vitro test with carcinogenicity was seen (Roller, 2011). Recent studies with (nano)materials have shown, that cell proliferation in the lung as a consequence of inflammation may be an important precursor of cancer. Histochemical analyses at Fraunhofer ITEM have shown a high correlation between tumour frequencies and cell proliferation as well as genotoxicity in lung epithelial cells (Rittinghausen et al., 2013) for carbon black, amorphous and crystalline silica. Another study showed a relationship between tumour frequencies and inflammation, fibrosis, epithelial hyperplasia and squamous metaplasia for amorphous and crystalline silica, carbon black and coal dust (Kolling et al., 2011). These correlating parameters can be determined in studies of much shorter duration. The amount of these studies with nanomaterials is considerably higher than the amount of long term studies and some of these studies are conducted under non overload conditions with several dose levels. Therefore these studies provide the possibility of deriving NOELs and LOELs of the nano-objects and the possibility of assessing dose response and risks of nanomaterials as a basis for regulation. In this research project repeated dose toxicity studies (including carcinogenicity studies) with different nanoobjects are analysed with the purpose to identify the precursors of carcinogenicity in these studies, to compare the toxicity of different types of nano-objects and to compare the toxicity of nano-objects with objects of larger size. Based on these analyses, already existing proposals for grouping of nanomaterials are evaluated and extended. For a better overview of the complex data studies were entered into the relational database PaFtox (Particle and Fibre toxicity database). This approach allows comparison of many parameters including statistical analyses. 1 1.2 Nanomaterials ---Definitions Efforts have been made to develop a consistent terminology for nanomaterials. According to ISO/TR 12802: 2010 two types of nanomaterials are distinguished: nano-objects (external nanoscale dimension) and nanostructured materials (internal nanoscale structure or surface structure). These are subdivided into further subgroups. Nano-objects have at least one dimension below 100 nm and cover nanoparticles (3D nano), nanofibres (2D nano) and nanoplates (1D nano) as well as nanocrystals (quantum dots, those exhibit sizedependent properties due to quantum confinement effects on the electronic states, see Fig 1). Nanofibres are again subdivided into nanorods (solid fibre), nanotubes (hollow fibre) and nanowires (electrically conducting or semiconducting nanofibres.). Nanotubes are currently distinguished between single-wall carbon nanotubes (SWCNT) - consisting of a single cylindrical graphene layer, double-wall nanotubes (DWCNT) - composed of two nested, concentric single-wall carbon nanotubes and multi-wall carbon nanotubes (MWCNT) composed of nested, concentric or near-concentric graphene sheets with interlayer distances similar to those of graphite (ISO/TS 80004-3:2010). Nanostructured materials have an internal or surface structure with a significant fraction of features, grains, voids or precipitates in the nanoscale (like nanostructured powders, nanocomposites, nanodispersions, nanoporous material). However, nanodispersions without any measureable interaction between nano-objects and medium (the medium is just background) are actually considered as cluster/accumulation of nanoobjects. Articles that contain nano-objects or nanostructured materials are not necessarily nanostructured materials themselves (ISO/TS 80004-4:2011). Most of the commercially produced nanoproducts are aggregates and / or agglomerates of nano-objects, which may be released under energy uptake (BAuA, 2007; BAuA/BfR/UBA, 2007; Creutzenberg et al., 2012). Also, under typical experimental conditions, the majority of the nano-objects in the exposure milieu are aggregated or agglomerated. 2 Fig 1: Taxonomy of Nanomaterial; adapted from ISO/TR 12802:2010 & ISO/TS 80004-4:2011 The European Commission (EC, 2010) proposes to define a material as a nanomaterial when it has a specific surface area by volume greater than 60 m2/cm3, excluding materials consisting of particles with a size lower than 1 nm. The volume-specific surface area (VSSA) of a material is generally calculated from its bulk density and its mass specific surface area. The latter is usually determined by gas absorption methodology called the BET-method (Brunauer et al., 1938) that allows surface area or porosity measurements for nanoparticles as small as 1 nm. From a 3D reconstruction of a nanomaterial, its surface area and its volume can, in principle, be estimated directly, such that its VSSA can be calculated, even on a per particle basis (Van Doren et al., 2011). 2 2.1 Methods Literature search 2.1.1 Approach The literature search was a tiered approach. First a most comprehensive literature search was performed. The different terms used for nano-objects, possible relevant effects and the application routes (Tab. 1) were used to perform a combined research in the databases Pubmed, Toxline and Web of Science. 3 Tab. 1: Concept of literature search Search for effects Lung effects Organ synonyms Effects Lung toxicity genotox* airway disorder mutagen pulmonary disease tumour respirat* function fibrosis or fibrinogen inflammation cancer carcinogenic or carcinoma oxidative mesotheliom* damage Search for nano-objects nanoparticles nanoparticle* / nano particle* nanotube* / nanofibre* / nanowire* nanoscale* particulates nanomaterial* fine particles fine dust* fine particle* ultrafine particles ultrafine dust* ultrafine particle* Search for application route inhal* (via air) respirat* airway intratracheal intraperitoneal Search terms as “repeated or chronic or subchronic” were tested but led to very few hits as these words are seldom used in the title, abstract or key words. The search results were collected in EndNote. Here, medical related studies were excluded by searching for key words “drug delivery and “dry powder inhaler”. Based on the abstracts, a preliminary list of potential relevant references was established. This list was subsequently enhanced by cross references identified in the publications during the actual data entry in the database. 2.1.2 Results The literature research led to 1343 hits in Pubmed, 1348 in Toxline and 1003 in Web of Science (January 2011). After pooling in EndNote, deleting the doubles and the medical related publications as well as screening the abstracts, about 453 publications were ordered. A lot of these publications are reviews or minireviews which is consistent with current great interest in the scientific and regulatory community. However, the reviews were also screened to find additional references. About one third are studies with study durations from one to seven days which were separated for potential later projects. About 200 are potentially suitable 4 (see criteria under point 2.2.3) and up to now, 87 publications from 41 different institutions containing 131 studies were entered into the database. After discussion with UBA, the following material types were selected for entry into the database “Inert” particles (granular biopersistant dusts) • Carbon Black • Titanium dioxide • Aluminium oxide Silicon dioxide Heavy Metals (elemental or oxides) • Silver • Manganese • Nickel • Iron • Cerium Carbon Nanotubes • Single wall carbon nano tubes • Multi wall carbon nano tubes 2.2 Data analysis by means of a relational database 2.2.1 Database Structure The structure of the database is based on the already existing database for chemicals, RepDose (www.fraunhofer-repdose.de, Bitsch et al., 2006) that has been developed at Fraunhofer ITEM. Particles and fibres are characterised by other physico-chemical properties than chemicals. Therefore, the structure was adapted and extended in this part of database (in the following Particle and Fibre toxicity, PaFtox database). It was developed in Microsoft Access®. This software has been selected because it is commonly available and can be easily handled also by non-experts. The database consists of three parts, the nano-object characterisation, the study design and the effect related part. Generally, there are several possibilities for data entry, picklist (fixed or expandable), free text or numerical figures. For a comprehensive analysis of particle characteristics and toxic effects the database entries have to be uniform and standardized. For this purpose glossaries were used for all fields, which can be addressed by queries for all relevant information such as particle characterisation, study design and effect data. Descriptions of identical observations differ between studies. As a general ontology for toxicological studies is currently not available (Tcheremenskaia et al., 2012), the documentation of toxicological study data in a database requires the development of a standardised vocabulary. For this purpose in the PaFTox database observations, described by different terms were collected. If possible, one term was selected and entered into the respective glossaries. Data entry guidance assures that the right synonyms are used subsequently for data entry. 5 Glossaries were defined as picklists, e.g. for effects and targets. Picklists are further used to document: surface property, sample preparation, distribution, unit of exposure/dose, species, strain, sex, application route, parameter unit, score (severity of damage) and significance. In contrast to the “defined fields” mentioned above “free text fields” are problematic, as users tend to include typos and do not use standardised text, which hampers database queries. The current PaFTox database therefore, does only include few “free text” fields. A typical example is the field “effect additional”, where the user can enter details e.g. if more details on the location of the effect are available, one gender was more sensitive than the other etc. Fig 2: Data entry mask of the PaFtox database 6 2.2.2 Particle and fibre characterisation In the guidance on physico-chemical characterisation of engineered nanoscale materials for toxicological assessment, it is stated that it is not sufficient to rely on a supplier’s commercial characterisation, as that information is tailored to customer applications (ISO/TR 13014:2012). Nanodispersion (aerosol or liquid dispersion) are usually instable as nano-objects (particles and fibres) tend to aggregate or agglomerate. Therefore, it is recommended to test the material “as received” and “as administered“(ISO/TR 13014:2012). Thus, there are three different types of data on nanomaterial characterisation, which all can be entered into the database. • Specification of primary object by producer / supplier (as produced) • Specification of primary object by authors (as received) • Specification of secondary objects by authors (as administered, exposure media) In line with ISO/TR 13014:2012, the following information can be entered into the database: • size / distribution • aggregation/agglomeration state in the exposure media • shape • specific surface area • composition / purity • surface chemistry • solubility / dispersibility • surface charge 2.2.3 Selection criteria for studies and materials The particles and fibres which have been entered into the PaFtox database have been selected by availability of suitable and reliable data. In general, five criteria were used for the selection of studies: application route, nanoscale dimension, reliability, species and study duration. The highest priority for entering into the database was given to inhalation studies (whole body or head/nose only). As the number of inhalation studies is limited for nano-objects also intratracheal and pharyngeal studies were included. Generally studies with nanoscaled particles were preferred, but additionally larger particles and carbon nanotubes were included for comparison reasons. As guideline studies are currently seldom available, this criterion couldn’t be used for the selection. Nonguideline studies may address special questions. Therefore, the reliability of all publications entered in the database was assessed based on internal quality criteria (similar to RepDose, (Bitsch et al., 2006)) and resulted in reliability classes A (comprehensive study design and scope, high reliability) to C (quality not accessible, preliminary). The majority of repeated dose toxicity studies for nano-objects were performed in rats or mice. The study selection was initially restricted to these two species, to get comparable data on target organs, mechanisms of toxicity, and LOELs for different nano-objects. 7 In general, studies with study durations from 28 days up to lifetime exposure were selected. Occasionally, shorter parallel studies of long-term studies (same publication) were entered into the database. For some substances several studies were included in the database. This might be useful to cover different endpoints and to analyse the influence of the study duration on several endpoints. Moreover, contradictory results can be revealed by this selection strategy. 2.2.4 Study design In the study part, information about the study design and exposure related information can be entered. • application type • exposure duration (hours per day, days, days per week) • instillation (number, frequency) • post-exposure duration • species/strain/sex • number of animals • particle and fibre characteristic as administered (secondary object) • reference • reliability • scope of study This database contains four different application types, exposure via air (whole body and nose / head only) and via instillations (intratracheal and pharyngeal). The airborne and instillation studies comprise a fundamental different exposure regime. The standard exposure protocol for inhalation studies via air is 6 hours a day 5 days a week and 28, 91 or 730 days for subacute, subchronic or cancer studies. Instillation studies are mostly performed with one instillation and the corresponding number of days for observation (post-exposure in this database). To enable a standardised data entry in the PaFtox database, one study is defined by the application type, the exposure conditions and the species/strain. Due to this definition it occurs that one publication often contains more than one study, but it happens also that one study was distributed over several publications. Therefore, the number of publications in the database (appendix 7.1) is different from the number of studies. Nano-objects in aerosols or in dispersions tend to aggregate or agglomerate. This tendency depends on several physico-chemical properties of the nano-object and of the exposure media. A lot of information is gathered in our report for the BAuA project F2133 (Schaudien et al., 2011). To enable retrospective conclusions, not only the metric information (e.g. MMAD) of the administered objects is a data field of this database but also the descriptive information on the exposure medium and conditions were collected. As described under chapter 2.2.3, only data for rodents were entered into the database. Studies could have been performed with both sexes and one sex. Two free text fields allow entering more study specific details: the exposure additional and the study additional. The exposure additional describes more specific details of the exposure regimen and the field study additional is related to the study design such as a special focus, unexpected death in single dose groups, description of interim sacrifices (number of animals per time point). 8 The number of examinations performed in particle studies may differ considerably, because there are currently no guidelines, which define the endpoints to be investigated. The comparison of toxicological potency/effects in different studies is difficult, if it is not distinguished between absence of an effect and absence of examination. Therefore, the scope of investigation is included in the database, where every single investigation e.g. level of specific cytokine is documented. 2.2.5 Toxicological data In any study a certain number of targets/organs is examined. In each target/organ numerous effects may be investigated using different methods. The database aims to describe all toxicological effects observed in the in vivo study. In PaFtox, effects are not related to the type of examination e.g. necropsy, histopathology or organ weight, but assigned to the target/organ where it occurred. The standardized glossary of targets/organs was adopted from the RepDose database. RepDose contains repeated dose studies of different exposure duration with chemicals for oral and inhalation exposure. However in particle and fibre studies, lung is mainly investigated but here more comprehensively as in similar chemical studies. Therefore, in addition to the already documented targets of the respiratory tract in RepDose, PaFtox includes some more specific targets, which are pleura and bronchio-alveolar lung fluid (BALF). The effect glossary was extended by new effects, which are particle specific or are coming from specific examinations, e.g. cytokine levels that are not common in repeated dose toxicity studies as they are not required in the corresponding guidelines. New entries can easily be added to the glossary. Tab. 2 shows examples for effects covered in the glossary for bronchio-alveolar lavage fluid (BALF) and lung. It can be distinguished between general effects, which can occur in several organs, e.g. hyperplasia, collagen or burden, and organ specific effects, e.g. bronchiolo-alveolar carcinoma (lung). For each effect the lowest observed effect level (LOEL) is documented, as well as the sex being affected. The field “effect additional” (2.2.1) further allows documenting some more details, if given in the study report. Further the grading of the effect is documented in the newly developed effect level table. This table may contain quantitative data (measured parameter), semiquantitative data (scores - mainly histopathology) and qualitative data (yes/no). In any case, the information on dose, sex and time point is given and the parameter level for quantitative data, the score levels minimal, mild, medium, severe, very severe for semiquantitative data and ‘changed’ or ‘no change’ for qualitative data. If available, the corresponding significances are entered. Sometimes effect data were only available in figures. In these cases the values were estimated by a standardized read out system. The detailed reports provided in the appendix 7.3 demonstrate the level of detail for each individual study. 2.2.6 Quality assurance Every entry was double checked according to the 4 eyes principle by another scientist of the group. To improve the speed of the data entry, an import module was programmed which allows combining of different versions of the database. Further, for better overview it is possible to print a report on each study entered into the database and on each material (see appendix 7.2 for examples). Several queries have been made to assure consistency of entries e.g.: • Are all relevant fields filled with information? (E.g. all fields of study design) • Do doses correspond to effect LOEL values? • Do calculated values correspond in all fields of the database, e.g. number of decimals equal? 9 • Are effects documented in a comprehensive way? • Are effects documented twice? If so, for which reasons? • Are effects in the glossary redundant? • Which effects are rare? Which grade of detail is needed? • Control for synonyms. 10 Tab. 2: Examples for effects in BALF and lung Target / Organ Parameter / Effect BALF Total protein Lactate dehydrogenase (LDH) PMN Total cells Neutrophils Alveolar macrophages Lymphocytes Leukocytes Reactive oxygen species (RNS) ex vivo Alkaline phosphatase (AP) β-glucuronidase Gamma-glutamyl transferase ( γ -GT) Burden Tumour necrosis factor protein (TNF-α) Reactive oxygen species (ROS) ex vivo Lung 8-OHdG Adenosquamous carcinoma Alveolar bronchiolization Clearance Alveolar proteinosis Apoptose Benign cystic keratinizing squamous-cell tumour Bronchiolo-alveolar adenocarcinoma Bronchiolo-alveolar adenoma Bronchiolo-alveolar carcinoma Burden Cell depletion Cell division cycle mRNA (Cdc2a) Cell proliferation Changes in organ structure Chemokine mRNA (CCL2) 11 2.2.7 Database queries NormDose: Exposure conditions in inhalation studies differ in dose level, exposure duration in hours per day and days per week. Therefore the original dose mostly provided for 6 h per day, 5 days per week in inhalation studies was normalised to 24 h/day and 7 days/week. CumDose: If instillation studies used more than one instillation, the time point of effect determination was compared with the instillation regime and the corresponding cumulative dose for that time point was calculated. Categories for time points: The studies differ also regarding their time regime. Thus the determination of effects occurred on a number of different days. Therefore, to simplify data analyses, the time points were categorised. Statistical analyses were performed with STATISTICA® and Microsoft excel®. To better illustrate differences in numbers of studies or LOELs identified, the three colour code offered in Excel was used and upper and lower limit (10th percentile, 90th percentile) were assigned to the traffic light code; green means better results or more information and red means worse results or less information. By analysing the minima of doses where an effect was positive, LOELs can be determined. Depending on the conditions, chosen for the query, different LOELs have to be distinguished: effect-LOEL, organ-LOEL, study-LOEL, substance-LOEL and object-LOEL or categories thereof. If several studies were available with the same route and duration for a specific substance, for some analyses the lowest LOEL, i.e. the substanceLOEL was used. 12 3 Data analysis 3.1 Particle and fibre characterisation Due to dimensional differences between nanoparticles and nanotubes the data about these two types of nanoobjects are analysed separately. Overall relatively little information about nano-objects characteristics is provided in the toxicological studies entered in the PaFtox database. General no information is provided for solubility, neither in water nor in the application media. 3.1.1 Specification of primary particles and fibres by producer / supplier (as produced) or by authors (as received) Overall, the amount of data related to primary characterisation is very low, see summary statistics about the primary characterisation (Tab. 3). Tab. 3: Primary characterisation in studies with nano-objects Specification by producer / supplier Specification by authors Specification by producer/supplier or author Diameter (mean) 93 25 114 Diameter (min) 15 3 16 Diameter (max) 17 4 19 Inner diameter * 0 0 0 Outer diameter (mean)* 4 2 5 Outer diameter (min)* 3 3 6 Outer diameter (max)* 3 3 6 Length (mean)*# 5 2 5 Length (min) *# 4 2 5 Length (max) *# 3 1 4 Medium 2 8 9 Determination method 17 33 46 Distribution type 3 11 11 Cristal structure 63 16 79 Shape 15 16 29 Solubility 0 0 0 Specific surface 55 59 114 Surface property 27 23 44 Particle density 27 22 45 Overall number of studies: 131, *for tubes; # for tubes and rods 13 Tab. 4 demonstrates that even if information is available, there are differences for the frequently used reference materials. Different batches or producing sites could cause these differences. Tab. 4: Available information for reference material ‘‘Min-U-Sil 5’’ Specification by supplier Specification by authors Diameter [nm] Diameter [nm] Median Minimum Maximum Median Minimum Maximum Kobayashi, et al. 2009 Toxicology Cites Warheit et al., 2007a and Kajiwara et al., 2007 Kobayashi, et al. 2010 Toxicology Cites Warheit et al., 2006, 2007a,b; Kobayashi et al., 2009 Shvedova , et al. 2005 Am J Physiol Lung Cell Mol Physiol 2140 Ogami, et al. 2009 Inhalation Toxicology 1600 10000 Warheit, et al. 2004 Tox Sciences 1000 3000 Warheit, et al. 2007a Tox Sciences 300 2000 534 Warheit, et al. 2007b Toxicology 200 2000 480 14 300 700 3.1.2 Specification of secondary particles and fibres by authors (as administered) Tab. 5 shows the number of studies where information on secondary characterization (as administered) was available. No information was provided in the publications about solubility in the used medium, the isoelectric point, the conductivity and almost nothing about zeta potential or spectra data which allow some inferences to the dimension and appearance of the nano-objects in the media. Tab. 5: Secondary characterisation in studies with nano-objects Number of studies Inhalation studies: Number of available data Percentage of Inhalation studies (n=38) Instillation studies: Number of available data Percentage of Instillation studies (n=93) Diameter (median) 26 68% 24 26% Diameter (GSD) 23 61% 1 1% Diameter (min) 3 8% 9 10% Diameter (max) 3 8% 10 11% Medium 4 11% 31 33% Determination method 26 68% 31 33% Sample treatment 2 5% 66 71% Application medium 2 5% 90 97% Dispersant 0 0% 26 28% Bulk density 4 11% 0 0% Distribution type 38 100% 92 99% Zetapotential 2 5% 1 1% Solubility in medium 0 0% 0 0% Isoelectric point 0 0% 0 0% Conductivity 0 0% 0 0% Diameter means mass median aerodynamic diameter and hydrodynamic diameter for inhalation and instillation studies, respectively. A comparative analysis between MMAD or hydrodynamic diameter and primary diameter was performed (Fig 3). A dependency could not be identified. However, MMADs cover several orders of magnitudes. MMAD is a double critical parameter, first its size determines the deposition behaviour and fate (Oberdörster et al., 2005) and second it’s difficult to standardize these size measurements, currently three different techniques lead to three different results (Pauluhn, 2010). This issue of primary nano diameter versus micro MMAD or hydrodynamic diameter contains the problem that in many studies the nano-objects are applied as larger aggregates, only slightly different from original larger particles. As disaggregation seldom occurs, only minor differences in effects could be expected between nano and larger particles. 15 Fig 3: MMAD in inhalation studies (left) and hydrodynamic diameter in instillation studies (right) 3.2 Studies included 3.2.1 Routes and study durations In the public literature a huge variety of study designs are published. Tab. 6 and Tab. 7 give an overview of the design of inhalation and instillation studies. The inhalation studies differ with respect to the type of inhalation (nose / head only), study duration, duration of postexposure period and duration of exposure per day and per week. Similarly instillation studies differ with respect to frequency of instillations and time after instillation. The study designs encountered most frequently are highlighted in bold. Within the different studies, investigations have been performed at interim time points, especially in instillation studies. 16 Tab. 6: Study design of inhalation studies route Category of study duration Exposure duration in days Post-exposure in days Exposure time in h/d Exposure duration in d/wk Number of studies Nose / head only Subacute 23 90 6 5 2 28 91 6 5 1 28 546 0.66 7 1 90 1 6 5 1 91 180 6 5 1 10 0 6 7 2 24 0 6 5 1 28 0 2 3 2 28 0 6 5 1 28 2 6 5 1 84 364 6 5 2 91 0 6 5 1 91 224 6 5 1 91 240 6 5 1 91 335 6 5 3 91 364 6 5 8 152 1 5 5 1 411 288 18 5 2 547 180 18 5 1 547 183 18 5 1 730 0 6 5 1 730 50 16 5 1 730 180 18 5 1 730 182 18 5 1 Subchronic Whole body Subacute Subchronic Chronic Cancer 17 Tab. 7: Study design of instillation studies Application route Category of study duration Exposure duration in days Postexposure in days Number of instillation Intratracheal Cancer 1 874 1 28 872 5 1 wk 5 63 812 10 1 wk 1 63 827 10 1 wk 1 63 837 10 1 wk 4 64 826 10 1 wk 1 98 802 15 1 wk 1 105 695 16 1 wk 2 133 767 20 1 wk 2 203 697 30 1 wk 1 406 469 30 2 wk 1 1 98 1 2 1 181 1 6 1 274 1 1 2 456 2 1 d 3 63 393 10 1 wk 1 84 77 4 0.5 d 1 266 14 20 2 wk 1 1 3 1 1 1 7 1 1 1 13 1 1 7 21 2 1 wk 1 8 2 2 1 wk 1 21 0 15 5 wk 1 21 7 4 1 wk 1 1 28 1 8 1 30 1 2 1 42 1 4 1 60 1 6 1 90 1 17 35 0 6 1 wk 2 35 1 6 1 wk 2 42 0 30 5 wk 1 42 1 7 1 wk 1 Chronic Subacute Subchronic 18 frequency per Number of studies 1 Application route Pharyngeal 3.2.2 Category of study duration Subchronic Exposure duration in days Postexposure in days Number of instillation frequency per Number of studies 61 30 3 1 mo 3 63 0 45 5 wk 1 1 28 1 1 1 60 1 3 Species Usually studies were performed with rats or mice (Tab. 8). Due to the high spontaneous lung tumour rate in mice, the rat is the preferred species especially for long term studies with particles. This is also reflected by the species distribution in the database where 80% are rat studies. However, especially for the shorter study duration, where inflammation endpoints are mainly investigated, mice are also used (see Tab. 8). Tab. 8: Types of studies in rats and mice Category of study duration Application route Subacute Nose /head only Subchronic Number of mouse studies 4 Whole body 3 4 Intratracheal 7 12 Pharyngeal 1 Nose /head only Chronic Total number species Number of rat studies 2 Whole body 3 13 Intratracheal 5 32 Pharyngeal 3 Whole body 3 6 Intratracheal 1 32 All routes 26 105 Bold: Highest number of studies 3.2.3 Dose levels, NOELs and LOELs According to the respective OECD guidelines repeated dose toxicity studies are performed with 3 dose levels and a control group. The lowest dose group is intended to show no effects (NOEL), the medium dose group should reveal slight toxicity (LOEL) and the highest dose group should have clear toxic effects, but no increased mortality. For toxicological evaluations effects at the LOEL are most important, as these reflect effects at low dose levels. As demonstrated in Tab. 9, 74 studies investigated only one dose level, 22 studies two dose levels and 35 studies used three or more dose levels. 19 Tab. 9: Number of different dose levels Number of studies Route Category time point 1 Dose Level 2 Dose Levels 3 and more dose levels Nose /head only 37-99 1 Nose /head only 100-189 3 Nose /head only 190-365 1 Nose /head only 366-912 1 Whole body 1-10 2 Whole body 11-36 4 Whole body 37-99 Whole body 100-189 1 Whole body 190-365 1 Whole body 366-912 12 Intratracheal 1-10 1 Intratracheal 11-36 10 4 4 Intratracheal 37-99 14 12 9 Intratracheal 100-189 5 1 1 Intratracheal 190-365 2 Intratracheal 366-912 19 4 1 Pharyngeal 11-36 Pharyngeal 37-99 1 1 1 1 8 2 1 2 1 3.3 Particles included Currently, the PaFtox database contains 17 different materials. For titan dioxide and Carbon Black numerous studies with different particle sizes were available. An overview is provided in Tab. 10. Tab. 10: Particles included Substance Titan dioxide Carbon Black Diameter (mean) in nm 4.9 2025 154 180 200 250 1000 14 15 37 56 70 95 120 260 Specific Surface in m2/g 316 3266 10 9.9 8.8 6.5 2.34 271337 230 43 45 37 22 n.g. n.g. Not all particles are available for all application routes The distribution of particles over the different application routes is illustrated in Tab. 11. 20 Tab. 11: Number of studies for different substances and particle diameter categories and application routes Number of studies Substance Category of diameter (mean)in nm Intratracheal Nose/ head only Aluminium oxide C 50 2 Aluminium trioxide 50 1 Aluminium trioxide 500 1 Aluminium oxyhydroxide 50 Carbon Black 50 13 Carbon Black 100 1 1 Carbon Black 500 1 1 Cerium(IV) oxide 50 1 Iron(II,III) oxide 10 1 lamp black 101+diesel soot 100 3 Manganese(IV) oxide 50 3 Nickel 50 1 Nickel hydroxide 50 Nickel oxide 50 2 Nickel oxide 3000 1 Silicon dioxide 50 16 Silicon dioxide 500 6 Silicon dioxide 1500 8 Silicon dioxide 3000 1 Silicon dioxide 5000 1 Silicon dioxide 8000 1 Silver 50 2 Titanium dioxide 10 4 Titanium dioxide 50 11 7 Titanium dioxide 500 6 5 Titanium dioxide 1500 1 Titanium dioxide 3000 Toner 500 Pharyngeal Whole body 1 7 2 1 2 4 1 1 1 Total number of studies: 122 3.4 Parameter / Effect analysis 3.4.1 Target / organs and effects Fig 4 presents an overview of affected targets / organs, distinguished between the different application routes. Generally, lung and BALF are the main targets, followed by lymph nodes. 21 Fig 4: Overview effected targets / organs Tab. 12 provides an overview of the effects found in all studies, irrespective of the route of application, dose and time point. It shows that some effects appear very frequently, such as lactate dehydrogenase (LDH), total protein, PMN in BALF or macrophage infiltration, fibrosis and inflammation in the lung. 22 Tab. 12: Observed effects Target / Organ Parameter / Effect Parameter / Effect observed (no of studies) BALF Lactate dehydrogenase (LDH) 50 BALF Total protein 50 BALF PMN 50 Lung Macrophage infiltration 48 Lung Weight 46 BALF Total cells 41 BALF Neutrophils 40 BALF Alveolar macrophages 36 Lung Fibrosis 34 Lung Inflammation 28 Lymph node Burden 28 BALF Lymphocytes 24 Lung Hyperplasia 22 Body weight Weight decreased 21 Lung Collagen 20 Lung Bronchiolo-alveolar adenoma 18 Lung Tumour (other) 17 Lung Squamous cell carcinoma 16 Lung Alveolar type II cells 16 Lung Granuloma 16 Lung Alveolar proteinosis 15 Lung Cell proliferation 15 BALF Leukocytes 13 Lung Macrophages foamy 13 Lung Bronchiolo-alveolar carcinoma 13 Lung Cystic keratinizing epithelioma 13 Total number of studies: 131 As indicated in Fig 4 most effects are local effects in the respiratory tract. Tab. 13 shows that effects in the lymph nodes, spleen, blood and pleura have been found especially in inhalation studies and indicate migration of the nano-objects. 23 Tab. 13: Parameter / Effects beyond the respiratory tract Target / Organ Effect Nose / head only Whole body Intratracheal Adrenal gland Weight Brain Burden Brain Functional disorders 1 Clinical symptoms Behaviour abnormal 1 Blood B cells 3 Blood Erythrocytes Blood Granulocytes Blood Haematocrit 2 Blood Haemoglobin 2 Blood Leukocytes total 1 Blood Lymphocytes total 3 Blood Natural killer cells (NK) 3 Blood Natural killer T cells (NKT) 3 Blood Neutrophils total Blood T cells 3 Blood T cells CD4+/CD8+ 3 Heart Blood pressure 2 Heart Heart rate 1 Kidney Burden 1 Liver Burden 2 Liver Hyperplasia 1 Liver Necrosis 2 Liver Vacuolization 1 Liver Weight Lymph node Burden Lymph node Cell proliferation Lymph node Changes in organ structure 4 Lymph node Discoloration 2 Lymph node Fibrosis Lymph node Granuloma 1 5 Lymph node Histiocytosis 3 1 Lymph node Hypercellularity 1 Lymph node Hyperplasia 2 Lymph node Hypertrophy 3 Lymph node Infiltration 8 1 2 1 8 1 2 6 2 25 40 23 1 1 8 24 4 6 Target / Organ Effect Lymph node Inflammation Lymph node Macrophage accumulation Lymph node Macrophage damage Lymph node Macrophage infiltration Lymph node Weight Nervous system Functional disorders Pleura Changes in organ structure Pleura Collagen 6 Pleura Fibrosis 1 Pleura Inflammation Pleura Thickening Spleen Burden Spleen Weight Thymus Weight 1 Urine Protein 1 Vascular system Burden 1 3.4.2 Nose / head only Whole body Intratracheal 4 9 3 7 3 4 13 1 1 1 1 1 4 1 1 Reversibility of effects Tab. 14 documents the effects per target organ for studies with whole body exposure which include in addition to the investigations at the end of the exposure period also investigations after a postexposure period. The postexposure durations ranged from 2 to 364 days. In total 755 effects were observed, 407 effects within the treatment period of the studies and 348 effects in addition in the post exposure period. The number of effects (at lowest observed effect level) were counted per time point and are subdivided into two groups: effect observed within exposure duration (termed (-) postexposure) or the effect was observed in the postexposure time (termed (+) postexposure). In most studies interim sacrifices were performed, so that effects for several time points can be distinguished. Time points were grouped into six time categories, evaluations <= 10 days (termed 10 days), <=36 days (termed 28 days), <100 (termed 90) <= 189 days (termed 182 days), <= 365 days (termed 365 days) and > 365 days (termed 700 days). All effects of the treatment period were also observed in the postexposure period. To obtain comparable results for the different groups, the number of positive effects was normalized to the number of studies of the corresponding subgroup. 25 Tab. 14: Parameter / Effect of study evaluation (+) or (-) postexposure in whole body inhalation studies Percentage of positive effects per total study number (n = 22) (-) postexposure Target / Organ Parameter / Effect 90 182 BALF AM relative 23 BALF AM total 9 BALF Burden 9 BALF LDH 23 BALF Neutrophils relative 14 BALF Neutrophils total 9 BALF PMN relative 27 BALF PMN total 9 BALF ß-glucuronidase 23 BALF Total cells 41 BALF Total protein 23 Body weight Weight 5 Clinical symptoms Mortality Lung Alveolar proteinosis 14 Lung mRNA (CCL2) 9 Lung Deposits Lung Fibrosis Lung Hyperplasia alveolar type II cells 23 Lung Infiltration 23 Lung Inflammation 9 Lung Macrophage damage 14 Lung Macrophage infiltration 32 9 Lung Macrophages interstitial 9 5 Lung Metaplasia Lung Weight 27 Lymph node Burden Nose Ratio (+)postexposure / (-)postexposure (+) postexposure 365 5 700 23 90 182 365 700 90 23 32 9 23 1 9 9 9 45 1 5 5 1 9 5 18 5 5 9 23 14 9 32 1 14 18 9 14 1 9 18 9 5 1 27 14 5 14 1 5 18 1 9 9 18 23 9 9 32 1 41 9 5 14 1 9 23 9 5 23 1 23 5 9 18 45 1 27 5 9 182 365 700 2 2 2 1.75 2 2 2 2.5 2 41 14 9 5 27 9 5 5 5 5 14 1.75 2 1.5 1 1 3 1 1.5 1 5 9 14 18 27 5 32 32 68 1 2.33 1.75 2.5 5 5 14 23 14 5 32 1 3 1 2.3 5 5 23 14 9 18 1 2 4 5 14 9 5 5 18 1 1 1.3 9 14 9 23 1 9 23 32 50 27 50 1 5.5 3 2.2 9 9 9 27 23 32 1 6 2.5 3.5 5 9 5 14 1 1.5 14 23 32 27 23 23 45 1 1.67 1 1.4 27 5 5 27 27 18 23 45 1 4 5 1. 7 Degeneration 5 18 18 18 5 18 18 45 1 1 1 2.5 Nose Hyperplasia 5 9 9 5 14 9 18 1 1.5 1 Nose Inflammation 9 18 9 27 1 1.5 Nose Squamous cell metaplasia 9 18 9 27 1 1.5 5 5 26 1 2.5 Traffic light code used for illustration lower limit: 10 percentile set to green and upper limit: 90 percentile set to red; AM - alveolar macrophages 27 Tab. 14 also depicts in the last column the ratio between the number of effects during the treatment and postexposure period of studies. If this value is higher than 100% it means, that effects are occurring more frequently at the LOEL of the study in the subgroup with postexposure. No effect disappeared, indicating that no effect was fully reversible. This analysis does however, not specify differences in grade and severity of effects and thus their in- or decrease during the postexposure period. In addition one effect in BALF and eight effects in lung are only seen in the postexposure period (Tab. 15). Tab. 15: Parameter / Effects (number) appearing only in the postexposure period at LOEL per time point in studies with whole body exposure. Category time point Target / Organ Parameter / Effect 100-189 366-730 BALF Glutathione peroxidase 1 2 Lung Adenosquamous carcinoma 1 Lung Benign cystic keratinizing squamous-cell tumour 2 Lung Bronchiolo-alveolar adenocarcinoma 3 Lung Gamma-glutamylcysteine synthetase (γ-glutamGCL) 2 Lung Manganese superoxide dismutase (Mn SOD) 2 Lung Squamous metaplasia 1 Lung Thickening 1 Lung Tumour supressor protein p53 1 3.4.3 Parameters affecting toxicity of particles and fibres In a preliminary analysis the influence of different parameters discussed to influence the toxicity of nanoobjects was investigated. The following parameters were analysed: • the composition of the (nano) particle • the mean diameter • the specific surface Studies with whole body exposure and intratracheal studies were analysed, because most studies were available for these application types. In most studies interim sacrifices were performed, so that effects for several time points can be distinguished. Time points were again grouped into six time categories, evaluations <= 10 days (termed 10 days), <=36 days (termed 28 days), <100 (termed 90) <= 189 days (termed 182 days), <= 365 days (termed 365 days) and > 365 days (termed 700 days). While in intratracheal studies investigations are already performed at early time points, the study design of inhalation studies focus on analyses at later time points. However in both routes, not every time point is covered. 28 3.4.3.1 Composition Tab. 16 shows LOELs derived from different studies for different substances and for the different application routes. There are considerable differences in toxicity between substances, while the exposure duration has a minor influence on the toxicity. Tab. 16: LOELs per route, substance and time point Application route Nose / head only Name Aluminum oxyhydroxide Min LOEL per time point 10 28 90 182 5E+00 4E+00 5E+00 6E-01 2E-02 2E-02 8E-02 MWCNT Whole body 7E-01 9E+00 9E+00 3E+01 Carbon Black 3E+00 2E-01 2E-01 1E+00 2E-01 MWCNT 6E+00 Nickel hydroxide 2E-02 2E-02 Silicon dioxide 2E-01 2E-01 2E-01 2E-01 9E-02 9E-02 9E-02 Titanium dioxide 6E+00 9E-05 9E-03 4E-01 9E-02 Aluminium oxide C 1E+02 Aluminium trioxide 2E+00 2E+00 2E+00 Carbon Black 2E-01 1E+01 4E-01 Cerium(IV) oxide 2E-01 5E-01 Iron(II,III) oxide 3E-01 1E+00 7E+01 1E+02 2E+02 lamp black 101+diesel soot 1E+01 1E+02 Manganese(IV) oxide Pharyngeal 700 Silicon dioxide Silver Intratracheal 365 6E+01 1E+02 4E-02 2E-01 MWCNT 4E-02 4E-02 Nickel 5E-01 5E+00 Nickel oxide 3E-01 3E-01 3E-01 3E-01 Silicon dioxide 8E-03 8E-01 8E-01 5E+00 SWCNT 1E+00 5E+00 1E+00 Titanium dioxide 8E-01 8E-01 8E-01 Toner 2E+02 2E+02 2E+02 SWCNT 3E-01 5E-01 5E-01 1E+01 1E+01 1E+01 LOELs normalised doses for inhalation studies in mg/m3 and cumulative doses in mg/kg bw for instillation studies; Traffic light code used for illustration lower limit: 10 percentile set to red and upper limit: 90 percentile set to green To further investigate the influence of particle composition; effects were identified that were either caused by reference particles (titanium oxide, silicon oxide, aluminium oxides and Carbon Black) or by heavy metals and oxides (silver, nickel and oxide, iron oxide, cerium oxide and manganese oxide). Reference particles cause overall 178 different effects (data not shown). The high number of effects is probably due to the fact 29 that especially Carbon Black and titanium dioxide are well investigated with numerous endpoints. A lower number of unique effects have been observed for the heavy metal based particles (Tab. 17). Interestingly, only one effect is caused by two different substances, but both are Nickel compounds. All other effects are unique per substance. Tab. 17: Parameter / Effects occurring only with heavy metals and oxides Target / Organ Parameter / Effect Substance Adrenal gland Weight Manganese(IV) oxide BALF Apoptosis Cerium(IV) oxide BALF Arginase-1 mRNA ex vivo Cerium(IV) oxide BALF Caspase protein (CASP3) ex vivo Cerium(IV) oxide BALF Caspase protein (CASP9) ex vivo Cerium(IV) oxide BALF Cell cycle: G1 phase Iron(II,III) oxide BALF Cell cycle: S phase Iron(II,III) oxide BALF Chemokine mRNA (CCL3) Nickel oxide BALF Chemokine protein (CCL2) Nickel hydroxide BALF Chemokine protein (CCL2) Nickel oxide BALF Cytokine-induced neutrophil chemoattractant protein (CINC-1) Nickel oxide BALF Cytokine-induced neutrophil chemoattractant protein (CINC-2 BALF Interleukin protein (IL-1) Iron(II,III) oxide BALF Interleukin protein (IL-12) Iron(II,III) oxide BALF Interleukin protein (IL-12) ex vivo Cerium(IV) oxide BALF Interleukin protein (IL-4) Iron(II,III) oxide BALF Interleukin protein (IL-5) Iron(II,III) oxide BALF Lipid peroxides (LPO) Nickel BALF Nuclear factor mRNA (NF-κB) ex vivo Cerium(IV) oxide BALF Phospholipids Cerium(IV) oxide BALF Suppressor of chemokine signalling mRNA (SOCS-1) ex vivo Cerium(IV) oxide Brain Functional disorders Manganese(IV) oxide Clinical chemistry Calcium Silver Clinical chemistry IgE Iron(II,III) oxide Clinical chemistry Interleukin protein (IL-1) Iron(II,III) oxide Clinical chemistry Interleukin protein (IL-12) Iron(II,III) oxide Clinical chemistry Interleukin protein (IL-4) Iron(II,III) oxide Clinical chemistry Interleukin protein (IL-5) Iron(II,III) oxide Clinical chemistry Total protein Silver Clinical chemistry Tumour necrosis factor protein (TNF-α) Iron(II,III) oxide Clinical symptoms Behaviour abnormal Manganese(IV) oxide 30 αβ) Nickel oxide Target / Organ Parameter / Effect Substance Blood B cells Iron(II,III) oxide Blood Natural killer cells (NK) Iron(II,III) oxide Blood Natural killer T cells (NKT) Iron(II,III) oxide Blood T cells Iron(II,III) oxide Blood T cells CD4+/CD8+ Iron(II,III) oxide Liver Hyperplasia Silver Liver Necrosis Silver Liver Vacuolization Silver Liver Weight Manganese(IV) oxide Lung Cytokine-induced neutrophil chemoattractant protein (CINC-1) Nickel oxide Lung Cytokine-induced neutrophil chemoattractant protein (CINC-2 Lung Glycoprotein mRNA (OPN) Cerium(IV) oxide Lung Heat shock protein mRNA (HSP1a) Iron(II,III) oxide Lung Heat shock protein mRNA (HSP8) Iron(II,III) oxide Lung Interleukin mRNA (IL-1 α) Nickel hydroxide Lung Interleukin protein (IL-1 α) Nickel oxide Lung Interleukin protein (IL-2) Nickel oxide Lung Lipidosis Cerium(IV) oxide Lung Matrix metalloproteinase mRNA (MMP-12) Iron(II,III) oxide Lung Matrix metalloproteinase mRNA (MMP-19) Iron(II,III) oxide Lung Matrix metalloproteinase mRNA (MMP-23) Iron(II,III) oxide Lung MHC II mRNA (H2-Eb1) Iron(II,III) oxide Lung MHC II mRNA (H2-T17) Iron(II,III) oxide Lung MHC II mRNA (H2-T23) Iron(II,III) oxide Lung Minute volume Silver Lung Peak inspiration flow Silver Lung PMN total Cerium(IV) oxide Lung Proteinase inhibitor mRNA (SLPI) Iron(II,III) oxide Lung Serum amyloid mRNA (SAA3) Iron(II,III) oxide Lung Tidal volume Silver Nervous system Functional disorders Manganese(IV) oxide Urine analysis Protein Silver αβ) Nickel oxide Silicon dioxide is frequently used as reference material in toxicity studies of particles. Therefore we analysed if there are silicon dioxide specific effects. Tab. 18 shows silicon dioxide specific effects and the size and 31 crystal structure responsible for the effect. Both types can cause significant effects in the lung, pleura and lymph nodes of different severity. The weight gain of thymus found for crystalline silica was transient. 32 Tab. 18: Parameter / Effects occurring only with silicon dioxides Target / Organ Parameter / Effect Size & Crystal structure Haematology Neutrophils total Nano amorphous or micro crystalline Lung Spongiosis Nano amorphous or micro crystalline Lung Swelling Nano amorphous or micro crystalline Lymph node Fibrosis Nano amorphous or micro crystalline Lymph node Infiltration Nano amorphous or micro crystalline Lymph node Inflammation Nano amorphous or micro crystalline Nose Necrosis Nano amorphous or micro crystalline BALF Chemotaxis Micro crystalline BALF Phosphatidylglycerol/phosphatidylinositol Micro crystalline (PG/PI) Bronchi Hyperplasia mucus cell Micro crystalline Clinical chemistry Alanine aminotransferase (ALAT) Micro crystalline Clinical chemistry Alkaline phosphatase Micro crystalline Lung 8-oxoGua Micro crystalline Lung Hyperplasia alveolar type II cells Micro crystalline Lung p53 mutations Micro crystalline Lymph node Hypertrophy Micro crystalline Pleura Fibrosis Micro crystalline Thymus Weight Micro crystalline Bronchi Apoptosis Nano amorphous Bronchi Necrosis Nano amorphous Clinical chemistry Globulin Nano amorphous Clinical chemistry Histamine Nano amorphous Clinical symptoms Respiratory distress Nano amorphous Haematology Haematocrit Nano amorphous Haematology Haemoglobin Nano amorphous Lung Chemokine protein (CXCL2) Nano amorphous Lung Interferon gamma mRNA (IFN-γ) Nano amorphous Lung Interleukin mRNA (IL-4, IL-8, IL-10, IL-13) Nano amorphous Lung Interleukin protein (IL-1β, IL-4, IL-6, IL-8, IL- Nano amorphous 33 Target / Organ Parameter / Effect Size & Crystal structure 10, IL-13) Lung Laminin Nano amorphous Lung Matrix metalloproteinase mRNA (MMP-9, Nano amorphous MMP-10) Lung Matrix metalloproteinase protein (MMP-9) Nano amorphous Lung Metallopeptidase inhibitor protein (TIMP-1) Nano amorphous Lung Necrosis Nano amorphous Lymph node Cell proliferation Nano amorphous Lymph node Histiocytosis Nano amorphous Lymph node Macrophage damage Nano amorphous Lymph node Macrophage infiltration Nano amorphous Pleura Changes in organ structure Nano amorphous Crystalline covers also mainly crystalline. 3.4.3.2 Tubes versus particles To investigate also the influence of the shape on toxicity an analysis was performed if carbon nano tubes (CNTs) cause other effects than titanium oxide, silicon oxide, aluminium oxides, Carbon Black or heavy metal compounds. Tab. 19 shows effects identified only for tubes but not with „inert“ particles, silicon dioxide or heavy metal based particles. Interestingly, all tube specific effects are unique per CNT type. Besides changes in cytokine levels other parts of the respiratory tract such as nose, pharynx and trachea are affected. Further thickening of the pleura was found, an effect that is consistent with the hypothesis that carbon nanotubes migrate to the pleura like asbestos fibres. Tab. 19: Parameter / Effects occurring only with carbon nanotubes Target / Organ Parameter / Effect Substance BALF Collagen MWCNT BALF Growth factor protein (TGF-β1) SWCNT BALF Interleukin protein (IL-23) SWCNT BALF Myeloperoxidase (MPO) SWCNT BALF Reactive oxygen species (ROS) SWCNT Bronchi Hypertrophy MWCNT Bronchi Weight SWCNT Blood Granulocytes MWCNT Blood Leukocytes total MWCNT Larynx Changes in organ structure MWCNT Lung Chemokine protein (CCL11) SWCNT 34 Target / Organ Parameter / Effect Substance Lung Chemokine protein (CCL17) SWCNT Lung Chemokine protein (CCL22) SWCNT Lung Cytokeratin SWCNT Lung Expiratory time SWCNT Lung Glutathione (GSH) SWCNT Lung Histiocytosis MWCNT Lung Interferon gamma protein (IFN-γ) SWCNT Lung Interleukin protein (IL-17A) SWCNT Lung Interleukin protein (IL-23) SWCNT Lung Interleukin protein (IL-33) SWCNT Lung Pentosidine SWCNT Lymph node Hypercellularity MWCNT Nose Changes in organ structure MWCNT Nose Eosinophilic structures MWCNT Nose Infiltration MWCNT Pharynx Hypercellularity MWCNT Pharynx Mucus MWCNT Pleura Thickening MWCNT Trachea Hypercellularity MWCNT Trachea Mucus MWCNT 3.4.3.3 Diameter and specific Surface There is concern, that particles with nanoscale diameter have a higher toxicity than particles of larger scale, due to their higher surface, inter alia. Therefore, we investigated, whether we can reproduce these results with queries in the PaFtox database. The LOELs were analysed for up to four different subgroups regarding their diameter and for two different subgroups regarding their specific surface for six categories of study durations from 10 to 700 days in whole body and intratracheal studies. The results are presented in Tab. 20 for the different diameters and in Tab. 21 for different specific surfaces. Generally the LOELs are lower for the particles with the smaller diameter and the higher specific surface. The difference in LOEL for the study with the lowest LOEL for the respective substances and time point is up to two orders of magnitude. The LOELs differ for particles within the same diameter or surface category, confirming substance specific toxicity. Silver nanoparticles are by far the most toxic nanoparticles. 35 Tab. 20: Influence of particle diameter on LOELs Application route Nose / head only Whole body Substance Diameter Min LOEL per time point 10 28 90 182 5E+00 4E+00 5E+00 6E-01 2E-02 2E-02 8E-02 < 56 nm MWCNT < 56 nm Silicon dioxide < 56 nm 7E-01 9E+00 9E+00 3E+01 Carbon Black < 56 nm 9E+00 2E-01 2E-01 1E+00 > 56 nm 3E+00 9E+00 9E+00 MWCNT < 56 nm 6E+00 Nickel hydroxide < 56 nm 2E-02 2E-02 Silicon dioxide < 56 nm 2E-01 2E-01 2E-01 2E-01 > 56 nm 1E+01 1E+01 1E+01 1E+01 9E-02 9E-02 9E-02 9E-02 2E+00 2E+00 2E+00 2E+00 Silver < 56 nm Titanium dioxide < 56 nm 9E-05 6E+00 4E-01 < 56 nm Aluminium trioxide < 56 nm 2E+00 2E+00 2E+00 > 56 nm 2E+00 2E+00 2E+00 < 56 nm 2E-01 1E+01 4E-01 7E+01 > 56 nm 6E+00 2E+01 7E+01 Cerium(IV) oxide < 56 nm 2E-01 5E-01 Iron(II,III) oxide < 56 nm 3E-01 1E+00 Lamp black 101+diesel soot > 56 nm Manganese(IV) oxide < 56 nm MWCNT < 56 nm Nickel Nickel oxide 9E+00 1E+02 1E+02 2E+02 1E+01 1E+02 6E+01 1E+02 4E-02 4E-02 4E-02 2E-01 < 56 nm 5E-01 5E+00 < 56 nm 3E-01 3E-01 3E-01 3E-01 7E+00 7E+00 7E+00 > 56 nm Silicon dioxide 2E-01 9E-03 Aluminium oxide C Carbon Black Pharyngeal 700 Aluminium oxyhydroxide > 56 nm Intratracheal 365 < 56 nm 8E-03 8E-01 1E+00 > 56 nm 1E+00 8E-01 8E-01 SWCNT < 56 nm 1E+00 5E+00 1E+00 Titanium dioxide < 56 nm 8E-01 8E-01 8E-01 4E+01 > 56 nm 5E+00 5E+00 2E+01 1E+01 Toner > 56 nm 2E+02 2E+02 2E+02 SWCNT < 56 nm 3E-01 5E-01 5E-01 5E+00 5E+01 7E+01 1E+01 1E+01 LOELs normalised doses for inhalation studies in mg/m3 and cumulative doses in mg/kg bw for instillation studies; Traffic light code used for illustration lower limit: 10 percentile set to red and upper limit: 90 percentile set to green 36 Tab. 21: Influence of specific surface on LOELs Application route Nose / head only Name Category specific surface Aluminum oxyhydroxide 400 MWCNT 400 Silicon dioxide 70 Min LOEL per time point 10 28 90 182 5E+00 4E+00 5E+00 6E-01 2E-02 2E-02 8E-02 700 1E+00 1E+00 1E+00 1E+00 2E-01 2E-01 1E+00 2E-01 7E-01 70 Whole body 365 Carbon Black 400 9E+00 MWCNT 400 6E+00 Nickel hydroxide 70 2E-02 2E-02 70 1E+01 1E+01 1E+01 1E+01 Silicon dioxide 400 2E-01 2E-01 2E-01 2E-01 Titanium dioxide 70 9E-02 9E-02 9E-02 9E-02 Aluminium oxide C 400 Aluminium trioxide 400 6E+00 4E-01 1E+02 2E+00 70 2E+00 400 2E-01 1E+01 Cerium(IV) oxide 70 2E-01 5E-01 lamp black 101+diesel soot 70 Manganese(IV) oxide 70 MWCNT 70 4E-02 4E-02 Nickel 70 5E-01 5E+00 70 7E+00 400 Nickel oxide Silicon dioxide 2E+00 1E+01 Carbon Black 1E+02 7E+01 4E-01 7E+01 2E+02 1E+01 1E+02 4E-02 2E-01 7E+00 7E+00 7E+00 3E-01 3E-01 3E-01 3E-01 70 1E+00 8E-01 8E-01 5E+00 400 8E-03 8E-01 1E+00 70 8E-01 8E-01 8E-01 Intratracheal Titanium dioxide 400 5E+00 5E+00 5E+00 Pharyngeal SWCNT 400 3E-01 5E-01 5E-01 1E+01 1E+01 5E+01 7E+01 1E+01 LOELs normalised doses for inhalation studies in mg/m3 and cumulative doses in mg/kg bw for instillation studies; Traffic light code used for illustration lower limit: 10 percentile set to red and upper limit: 90 percentile set to green 3.4.4 Genotoxicity of nano-objects in vivo An important question is, whether carcinogenicity of nano-objects can be predicted by studies on genotoxicity in vitro. In vitro studies are not subject of the PaFtox database. However, in some in vivo studies endpoints indicating genotoxicity have been investigated, such as 8-OHdG or HPRT mutations (Tab. 22). As Tab. 22 shows, only few studies are available. Parameter / Effects were found in 33 to 100 % of the studies for silicon dioxide, Carbon Black, titanium dioxide and SWCNT indicating the potential for 37 genotoxicity also for „inert“ particles. Genotoxicity has been found also in other recent in vivo studies (Rittinghausen et al. 2012) with a high correlation with cell proliferation. Thus genotoxicity may arise as primary effect but more probably as secondary effect following cell proliferation. Tab. 22: Genotoxic effects (measured and percentage positive effects) Category time point Number of studies effect measured Percentage positive effects (positive/measured) 10 10 36 99 189 365 730 36 99 189 365 730 Whole body inhalation - Lung 8-OHdG Carbon Black 3 HPRT mutations Carbon Black 3 Silicon dioxide 1 Carbon Black 3 PAH-derived DNA adducts 3 3 67 3 67 67 33 33 33 Whole body inhalation - BALF HPRT mutations Carbon Black 6 5 5 67 60 60 Intratracheal instillation - Lung 8-OHdG Carbon Black Silicon dioxide 2 3 100 2 SWCNT 100 100 1 8-oxoGua Silicon dioxide HPRT mutations Carbon Black 2 50 Silicon dioxide 2 100 Titanium dioxide 2 50 p53 mutations Silicon dioxide 5 100 5 6 100 5 40 50 40 Intratracheal instillation - BALF HPRT mutations Carbon Black 2 50 Silicon dioxide 2 100 Titanium dioxide 2 0 Traffic light code used for illustration lower limit: 10 percentile set to red and upper limit: 90 percentile set to green 38 Tab. 23: ‘‘LOELS’’ for positive genotoxic effects Category time point Target / Organ Parameter / Effect 10 36 99 189 365 730 Substance Whole body inhalation Lung 8-OHdG Carbon Black 1.4 HPRT mutations Carbon Black 1.3 1.4 9.4 9.4 Silicon dioxide BALF PAH-derived DNA adducts Carbon Black 3.1 HPRT mutations Carbon Black 1.4 1.4 1.4 Intratracheal instillation Lung 8-OHdG Carbon Black 9.7 Silicon dioxide 0.8 0.8 SWCNT BALF 11.3 8-oxoGua Silicon dioxide 0.75 HPRT mutations Carbon Black 100 Silicon dioxide 10 Titanium dioxide 100 0.75 3 p53 mutations Silicon dioxide 6 HPRT mutations Carbon Black 100 Silicon dioxide 10 Titanium dioxide - LOELs normalised doses for inhalation studies in mg/m3 and cumulative doses in mg/kg bw for instillation studies; Traffic light code used for illustration lower limit: 10 percentile set to red and upper limit: 90 percentile set to green 3.4.5 Carcinogenicity Fig 5 shows an analysis for the chain of effects: inflammation, hyperplasia, metaplasia and tumour. The effects were counted for the lowest dose and the earliest time point the effect was observed for all studies. This graphic gives an indication what effect can be detected at which time point. While inflammation and hyperplasia were observed within one or three months, metaplasia, cysts, adenoma, carcinoma were determined at later stages, after one or two years. Similar observations were seen for intratracheal studies (data not shown). 39 Fig 5: Number of effects per category time point in whole body inhalation studies on carcinogenicity (query counted effects at minimum dose and earliest time point) 40 Fig 6 shows the LOELs for the same effects (inflammation, hyperplasia, metaplasia and tumour) for two or three different particles sizes of Carbon Black, silicon dioxide and titan dioxide. According to this preliminary analysis, considering the relevance of the effects (inverse the chain of effects) and the corresponding LOELs, the toxicity could be ranked as follows CB 50 ~ TiO2 500 > SiO2 50 > TiO2 50 > CB 100 > CB 500 > SiO2 8000. However, the data are limited to only few data points and do not allow any conclusion regarding the carcinogenicity of nano-objects. Fig 6: Effect --- ‘‘LOELs’’ per particle in whole body inhalation studies on carcinogenicity (query counted effects at min dose and first time point) 3.5 Correlations 3.5.1 Cell counts Changed counts of different types of lymphocytes are often observed in BALF (Tab. 12). They are related to (acute) inflammation in the respiratory tract. In the PaFtox database they account for about 15% of all effects and are mainly determined in BALF (Tab. 24). Frequently affected cell types are alveolar macrophages and neutrophils. Neutrophils are also called polymorphonuclear neutrophils (PMN). And sometimes the term PMN is synonymously used to polymorphonuclear leukocytes (PML), which covers in addition to neutrophils, also eosinophil and basophil granulocytes. In the PaFtox database, both terms are separately recorded to keep the possibility to identify possible differences (Tab. 24). In the statistical analyses (Tab. 24 41 and Tab. 25), they are separately counted but have been combined at a later stage for effect level/power analyses. In Tab. 25 it was investigated, if the effects in BALF occur early or late during treatment. No consistent time pattern emerges for either of the parameters investigated. No consistent pattern was found in sensitivity concerning absolute or relative cell counts. Sometimes relative counts were positive more frequently, sometimes absolute counts. Tab. 24: Investigation of cells in different targets (statistically significant increased/measured or investigated) Parameter / Effect BALF Alveolar macrophages relative 58/73 Alveolar macrophages total 75/127 Eosinophils total 3/8 Erythrocytes Blood Lung Nose 0/2 1/10 Granulocytes 0/4 1/1 Leukocytes total 23/26 1/1 Lymphocytes relative 28/48 Lymphocytes total 32/60 Neutrophils relative 87/119 Neutrophils total 72/86 PMN relative 87/123 PMN total 84/130 1/3 12/19 7/23 1/1 Bold marked effects were analysed in more detail. 42 1/3 Tab. 25: Frequency of increased / measured cell counts in BALF per time point category Positive / Measured Category time point 1 3 10 21 36 99 189 365 4/4 4/4 2/2 1/4 2/4 1/2 730 Nose / head only Alveolar macrophages total Lymphocytes relative 1/1 Lymphocytes total Neutrophils total 2/2 PMN relative PMN total 2/5 2/2 1/2 1/1 6/6 6/6 2/3 4 / 10 8 / 12 8 / 12 2/3 12 / 16 12 / 14 4/6 7/7 4/8 8 / 16 5/9 13 / 19 Whole body Alveolar macrophages relative /1 Alveolar macrophages total Granulocytes 4/4 Leukocytes total Lymphocytes relative /1 2/2 3/4 4/6 7/9 2/2 7/8 Lymphocytes total 2/2 3/4 /2 1/1 Neutrophils relative 10 / 14 14 / 19 8 / 11 7/8 1/1 2/2 4/4 3/4 3/5 0/1 0/2 11 / 12 7/7 1/3 5/7 1/1 0/1 2/2 1/1 4/5 Neutrophils total PMN relative PMN total 1/1 Intratracheal Alveolar macrophages relative 6/7 4/4 4/4 1/1 2/4 1/3 Alveolar macrophages total 2/4 7 / 10 7/8 3/6 7 / 11 4/5 0/2 1/2 1/1 0/3 1/1 0/1 4/4 8/8 5/5 Eosinophils total Leukocytes total 5/6 3/3 Lymphocytes relative 1/1 4/4 4/4 1/1 3/4 6/6 Lymphocytes total 1/1 3/6 4/5 1/1 2/9 2/2 1/1 Neutrophils relative 12 / 14 16 / 17 6 / 14 3/3 3/6 4/6 1/1 Neutrophils total 3/3 15 / 18 5/6 3/3 6/7 8/9 1/2 PMN relative 13 / 15 2/2 12 / 17 17 / 22 13 / 16 2/2 1/1 PMN total 16 / 18 15 / 19 11 / 13 9 / 15 1/1 3/3 Pharyngeal Alveolar macrophages total 0/3 3/3 4/4 3/3 2/3 Lymphocytes total 2/3 3/3 3/3 3/3 1/3 Neutrophils total 3/3 3/3 3/3 1/1 2/3 PMN total 3/5 1/1 43 5/6 Based on this overview, the effect levels of relative PMNs and relative neutrophils combined were further investigated in dependency of different measures of dose. As was shown by Oberdörster at al. 2005 for TiO2, surface area may be a suitable dose measure for comparing effects of nanoparticles with particles of larger size. Therefore we compared both: dose as mass unit in mg/kg bw for intratracheal studies or mg/m3 for inhalation studies and surface area (dose as mass multiplied by the specific surface if provided for the respective particles in the studies) for the time point day 1. Fig 7 shows selected trend analyses performed for all corresponding particles available for the particular application route and time point category. Further differences in substance, size and crystal structure are marked by different symbols. Fig 7 A shows relative neutrophils (incl. PMNs) for intratracheal instillations 1 day after instillation in dependency of applied dose in mg/kg bw. The Plot Fig 7 B shows the same values in dependency of particle surface. Fig 7 C and Fig 7 D show the corresponding values for the time point categories 5-10 and 11-36 days after instillations, respectively. Finally, Fig 7 E and Fig 7 F show the results for whole body exposure studies for the time point categories 37-99 and 100-189 days, respectively. Due to the larger spread in the figure, particle surface as dose measure seems to better illustrate the dose-response for different particle sizes and compositions. Therefore the following analyses have been performed solely based on surface. Additionally, a regression line has been introduced into the figures as visual aid for distinguishing effect levels for different particles. Overall, a rough dose response relationship can be found for the different particles depending on particle surface as dose measure. Some particles (aluminium trioxide or titanium dioxide) lie below the regression line indicating a lower toxicity than average, while silicon dioxide lies above. Interestingly, this includes also amorphous silicon dioxide particles which are generally considered to have a lower toxicity than crystalline silica. Generally the pattern is similar with all durations and also in intratracheal studies compared to inhalation studies. The steepness of the dose-response curve is also similar. In contrast to studies with intratracheal instillation few inhalation studies are available for silicon dioxide. Rutile, the crystalline form of titanium dioxide with higher toxicity lies above the regression line. 44 Fig 7: Correlation of relative number of neutrophils with particle mass or particle surface area 45 3.5.2 Alveolar macrophages Similar analyses were performed for the relative alveolar macrophage counts in whole body studies and total alveolar macrophage counts for intratracheal studies (data not shown). A general negative trend was found, but some particles showed a positive trend: cerium oxide (4 points) and nickel oxide (2 points) in intratracheal studies at time category 11-36 days after instillation (not at time point 3 days) and titanium oxide (2 points) in whole body studies at time category 37-99 and 100-189 days (negative in intratracheal studies). 3.5.3 Total Protein and lactate dehydrogenase As earlier mentioned (Tab. 12), the effects total protein and lactate dehydrogenase (LDH) in BALF are more frequently measured than other effects. Therefore, a detailed analysis was performed also for these endpoints. Tab. 26 shows the corresponding time related distribution of the number of measurements for both effects. Tab. 26: Time related distribution of measurements of total protein and lactate dehydrogenase Category time point 1 3 10 36 99 189 365 730 1 1 34 29 13 23 1 33 31 15 27 Whole body inhalation Total protein Lactate dehydrogenase (LDH) Intratracheal instillation Total protein 32 23 21 27 28 2 6 Lactate dehydrogenase (LDH) 50 11 45 26 37 2 6 Based on this overview (Tab. 26), the percentage changes of total protein measured in BALF were further investigated in dependency of particle surface area as dose measures for several time point categories: For intratracheal instillation the time point categories 1, 11-36 and 37-99 days, and for whole body exposure inhalation studies the time points 37-99 and 100-189 days (Fig 7). Fig 8 shows selected trend analyses for percentage change of total protein in dependency of particle surface area performed for all corresponding particles available for the particular application route and time point category. Further differences in substance, size and crystal structure are marked by different symbols. Fig 8A shows the results for intratracheal instillations 1 day after instillation. The Plots Fig 8 B, Fig 8 C and Fig 8 D show the corresponding values for the time point categories 3 days, 11-36 and 37-99 days after instillation, respectively. Finally, Fig 8 E and Fig 8 F show the results for whole body exposure studies for the time point categories 37-99 and 100-189 days, respectively. Overall, a slight dose response relationship can be found for the different particles with particle surface area as dose measure. Unfortunately, the data amount does not allow a more detailed analysis regarding differences between different particle substances or other properties. However, two results are considered as very interesting: First, nickel led to very high protein contents in BALF at the three time point categories (1 day, 3 and 11-36 days for i.tr. studies), and second nano quartz seems to be less toxic than amorphous nano silicon dioxide. Aluminium oxide is again less toxic. 46 Fig 8: Correlation of total protein with particle surface area 47 Time or application route related differences were not identified. The trend and the effect level (with few exceptions) are similar with all durations and also in intratracheal studies compared to inhalation studies. Based on the overview presented above (Tab. 26), the percentage changes of LDH measured in BALF were also further investigated in dependency of particle surface area as dose measures for several time point categories: For intratracheal instillation the time point categories 1, 11-36 and 37-99 days, and for whole body exposure inhalation studies the time points 37-99 and 100-189 days (Fig 9). Fig 9 shows selected trend analyses for percentage change of LDH in dependency of particle surface area performed for all corresponding particles available for the particular application route and time point category. Further differences in substance, size and crystal structure are marked by different symbols. Fig 9 A shows the results for intratracheal instillations 1 day after instillation. The Fig 9 B and Fig 9 C show the corresponding values for the time point categories 5-10 days and 37-99 days after instillation, respectively. And the plots Fig 9 C, Fig 9 E and Fig 9 F show the results for whole body exposure studies for the time point categories 37-99, 100-189 and 366-730 days, respectively. The results differ for each panel. A slight dose response relationship can be found for the different particles in intratracheal studies at time point categories 1 day or 5-10 days after instillation and even more powerful correlations can be found for some substances (cerium oxide, titanium oxide (nano and fine) and Carbon Black) one day after instillation. The data at time point category 37-99 does not allow analogue conclusions. The analyses for whole body exposure studies suffer from the limited number of data. The corresponding analyses cover mainly titanium dioxide and Carbon Black and show only weak correlations (Fig 9 D to F). Surprisingly, titanium dioxide led to significant higher effect level than cerium oxide one day after intratracheal instillation (Fig 9 A) and at time point category 5-10 days similar levels were achieved. However, the slight trend is similar at all time point categories and also in intratracheal studies compared to inhalation studies. 48 Fig 9: Correlation of LDH with particle surface area 49 3.5.4 Infiltration Infiltration of inflammatory cells is the first response of the immune system. The precise description of this effect differs between the several publications. Currently two types of infiltrations are distinguished in the database. Terms like hypercellularity, infiltration of (inflammatory) cells, neutrophils, mononuclear cells (mainly lymphocytes, monocytes and plasma cells) and infiltration of polymorphonuclear leukocytes are summarised under the effect “infiltration”. Beside this common term, the term “macrophage infiltration” is separately recorded. Tab. 27: Number of studies positive infiltrations Parameter / Effect Category time point 1 3 10 36 99 189 365 730 Nose/head only inhalation Infiltration Aluminum oxyhydroxide 2 MWCNT Macrophage infiltration 2 1 Silicon dioxide 2 Aluminum oxyhydroxide 2 1 1 2 MWCNT 1 Carbon Black 2 Whole body inhalation Infiltration Nickel hydroxide Macrophage infiltration 2 1 4 4 6 1 1 Silicon dioxide 5 Silver 1 Titanium dioxide 3 2 1 1 Carbon Black 3 4 1 6 Silicon dioxide 2 1 1 Intratracheal instillation Infiltration Carbon Black Iron(II,III) oxide 1 1 MWCNT Nickel 1 Nickel oxide Silicon dioxide 2 2 1 1 1 1 1 1 1 1 1 2 1 3 3 10 9 1 Macrophage infiltration 1 5 3 1 Cerium(IV) oxide 1 Silicon dioxide 1 1 1 1 1 Titanium dioxide 5 6 5 3 1 Traffic light code used for illustration lower limit: 1 set to red and ideal minimal upper limit: 20 set to green 50 1 1 SWCNT Titanium dioxide 1 2 Tab. 28: Parameter / Effect ‘‘LOELs’’ for infiltration and macrophage infiltration Category time point 1 3 10 36 99 189 365 730 Nose/head only inhalation Aluminum oxyhydroxide 5.1E+00 MWCNT Infiltration Macrophage infiltration 5.1E+00 8.0E-02 Silicon dioxide 6.6E-01 Aluminum oxyhydroxide 5.1E+00 MWCNT 1.1E+00 2.9E-01 5.1E+00 1.8E-02 Whole body inhalation Carbon Black 1.3E+00 Nickel hydroxide Infiltration Macrophage infiltration 2.5E+00 1.2E+00 1.2E+00 2.3E-01 2.3E-01 1.0E+01 1.9E-02 Silicon dioxide 2.3E-01 Silver 8.6E-03 Titanium dioxide 4.0E+00 4.3E+01 4.3E+01 4.3E+01 Carbon Black 1.2E+00 1.2E+00 1.2E+00 1.2E+00 Silicon dioxide 9.0E+00 9.0E+00 9.0E+00 Intratracheal instillation Carbon Black Iron(II,III) oxide 3.0E+01 1.0E+00 MWCNT Nickel 5.3E+00 Nickel oxide Silicon dioxide 8.2E-01 Titanium dioxide 1.0E+00 4.0E-02 4.0E-02 4.0E-02 5.3E+00 5.3E+00 5.3E+00 3.3E-01 3.3E-01 3.3E-01 3.3E-01 3.3E-01 8.2E-03 8.2E-01 8.2E-01 1.0E+00 5.0E+00 1.5E+01 1.1E+01 5.0E+00 5.0E+00 5.0E+00 Cerium(IV) oxide Macrophage infiltration 2.5E+01 1.0E+00 SWCNT Infiltration 9.0E+01 3.5E+00 Silicon dioxide 5.0E+00 5.0E+00 5.0E+00 5.0E+00 5.0E+00 Titanium dioxide 5.0E+00 5.0E+00 3.3E+00 5.0E+00 5.0E+00 LOELs normalised doses for inhalation studies in mg/m3 and cumulative doses in mg/kg bw for instillation studies. Traffic light code used for illustration lower limit: 10 percentile set to red and upper limit: 90 percentile set to green 3.5.5 Lung weight Based on our experience with RepDose, we know that lung weight is a sensible term for lung damages. In contrast to chemicals it might be possible that the lung weight gain resulted from lung burden by the nanoobjects. Therefore, the percentage of burden of the lung weight was determined (see Tab. 29). In all studies lung burden contributed to a small degree to the lung weight increase, the maximum was 11 % in a 51 carcinogenicity study with titanium dioxide. Therefore, the lung weight gain compared to control is caused by other factors, e.g. influx of inflammatory cells, or fibrosis. Tab. 29: Minimum and Maximum percentages of burden of the lung weight Category time point 1-10 min 11-36 max 37-99 100-189 218-365 min max min max min max 0.08 5.96 0.10 5.57 0.003 5.03 0.03 0.08 0.005 0.14 0.61 Silicon dioxide 1E-04 Titanium dioxide 0.27 366-730 min max min max 0.08 0.02 0.05 0.25 0.82 0.29 0.74 0.18 1.02 3E-03 0 5E-04 4E-04 1E-03 4E-04 7E-04 6.46 0.78 6.40 0.58 6.35 0.65 10.88 0.56 0.56 0.36 0.36 0.01 0.01 Nose/head only inhalation Aluminum oxyhydroxide MWCNT Silicon dioxide 0.17 0.37 0.15 0.21 Whole body inhalation Carbon Black Intratracheal instillation Carbon Black MWCNT 0.11 0.19 Silicon dioxide Green: 10 percentile; red: 90 percentile 52 Tab. 30: Minimum and maximum of percentage change of lung weight Category time point 1-10 Min 11-36 Max 37-99 100-189 218-365 366-730 Min Max Min Max Min Max Min Max Min Max 115 117 106 106 108 115 121 176 113 169 127 161 129 192 114 235 137 500 194 517 Silicon dioxide 120 230 110 405 100 430 355 420 Titanium dioxide 147 151 120 239 135 450 132 427 149 149 123 123 165 165 Nose/head only inhalation Aluminum oxyhydroxide MWCNT Silicon dioxide 114 150 131 133 Whole body inhalation Carbon Black Intratracheal instillation Carbon Black MWCNT 122 122 Silicon dioxide Traffic light code used for illustration lower limit: 10 percentile set to green and upper limit: 90 percentile set to red Tab. 30 shows that for all particles and MWCNT lung weight is increased and the increase can be detected already at early time points, indicating that lung weight is a sensitive parameter. Lung weight was increased in 47 studies. The lung weight LOEL was at study LOEL in 85 % of these studies. 53 Tab. 31: ‘‘LOELs’’ for lung weight Category time point 1-10 Norm Dose 11-36 Orig Dose 37-99 100-189 218-365 366-730 Norm Dose Orig Dose Norm Dose Orig Dose Norm Dose Orig Dose Norm Dose Orig Dose Norm Dose Orig Dose 5 28 5 29 1 3 0.3 1.6 0.1 0.5 0.3 2 2 7 1 2 1 2 1 2 Silicon dioxide 6 31 6 31 6 35 10 59 Titanium dioxide 5 10 5 10 5 10 5 10 75 1 250 5 50 0.5 Nose/head only inhalation Aluminum oxyhydroxide MWCNT Silicon dioxide 9 51 9 50 Whole body inhalation Carbon Black Intratracheal instillation Carbon Black MWCNT 1 1 Silicon dioxide LOELs normalised doses for inhalation studies in mg/m3 and cumulative doses in mg/kg bw for instillation studies; * Original dose in mg; Traffic light code used for illustration lower limit: 10 percentile set to green and upper limit: 90 percentile set to red. 4 Discussion 4.1 Results 4.1.1 Carcinogenicity The original focus of this project was to derive structure activity relationships for nano-objects with respect to carcinogenicity. However, as discussed with UBA, this requires a huge data set including numerous carcinogenicity studies, which are currently not available. Carcinogenicity studies are, however, limited to 4 in inhalation studies (Titanium dioxide – 21 & 250 nm and Carbon Black – 14 & 37 nm) and 20 in intratracheal studies (Aluminium oxide C - 13 nm, Carbon Black - 14 & 95 nm, Silicon dioxide - 14 & 1100 nm, Titanium dioxide - 21, 25 & 200 nm. As Tab. 29 reveals for Titanium dioxide, the tumours were induced under severe overload conditions (lung weight contains 11% burden). Therefore, it is questionable, whether they are suitable for risk assessment at all. In addition, there is no negative study available that would allow identifying relevant precursors for the development of cancer. Thus, the statement that the potential carcinogenic risk of nanomaterials can currently be assessed only on a case-by-case basis (Becker et al., 2011) is still true. 4.1.2 Availability of studies for different particles and fibres The nano-objects to be analysed were selected together with the sponsor and included Carbon Black and related compounds, titanium dioxide, aluminium oxide, silicon dioxide, heavy metals and their oxides (silver, nickel, manganese, iron, and cerium), single and multiwall carbon nano tubes. With respect to numbers of studies in the database, there is a strong imbalance for these nano-objects: numerous studies are available for titanium dioxide, Carbon Black and silicon dioxide for different particle sizes, application 54 routes and study durations, while for other particles especially the heavy metals only few studies are available. According to our literature search more than 100 additional studies are available including several other compounds or modifications thereof that could be entered into the database. 4.1.3 Particle and fibre characterisation Besides the chemical composition, the special properties (high specific surface area or specific volume) of the nano-objects are considered a crucial/elementary cause for hazard differences compared to larger particles. Therefore the particle characterisation is as important as the determination of the chemical composition. However particle characterisation itself in the nanoscale dimension is a relatively new area of research and technical development. Difficulties arise as the values from different measurement techniques are difficult or hardly to compare. The importance is recognized by international standardisation organisation which implemented technical committees (TC) to derive standard protocols for characterisation of nanomaterials (nano-objects and nanostructured materials) as well as the surface chemistry (TC 229 Nanotechnologies and TC 201 Surface chemical analysis, respectively). Nanoparticles in nanomaterials are usually present as clusters of aggregates and/or agglomerates. While primary nanoparticles within aggregates are bound by strong chemical bonds (i.e. covalent or ionic bonds), binding between agglomerates is caused by van der Waals forces, which are much weaker. However, for inhalation studies nano-objects may be dispersed in air (aerosols) and for instillations in liquids. The aggregation status differs between liquid suspensions and aerosols, and is affected by many factors, such as the dispersion technique, dispersion aids, age of dispersion and experimental conditions. Further details see BAuA research report F2133 (Schaudien et al., 2011). The size of the nano-objects or aggregates is considered to be relevant for their deposition behaviour in the lung. The deposition efficiency in the parts pharynx, bronchi and alveoli differs and depends on the particle size inhaled. Oberdörster et al illustrates these differences (see Fig 10), based on to the predictive mathematical model (International Commission on Radiological Protection 1994). Despite the deposition, also the disposition is considered to be fundamentally different from larger particles (Oberdörster et al., 2005). Summarising the costs for the several characterisation tests, it is clear why none of the currently available studies fulfil the ISO guideline recommendations. On the other hand, the degree of characterisation is an important part for the quality of a publication / study. An addition it might be possible that some characterisation data are available to later time point, when identity parameters are consolidated. 55 Fig 10: 4.1.4 Predicted fractional deposition of inhaled particles (Oberdörster et al., 2005) Application routes Different application routes are used in experimental studies to assess potential inhalation hazard. In principal, four exposure techniques can be distinguished, the inhalation techniques nose / head only and whole body and the instillation types intratracheal and pharyngeal. They differ with respect to exposure condition, to suitability for regulatory purposes, and to costs (Tab. 32). Due to several reasons, these application techniques could be compared only to a limited extent. 1. While in inhalation studies, the (nano-)objects are actively inhaled, the exposure in instillation studies occurs passively. Due to these different exposure techniques, the deposition rate is completely different. In inhalation studies it depends on several physical parameters (Heyder, 2004; International Commission on Radiological Protection, 1994) and in instillation studies a full deposition can be assumed. 2. The continuity of exposure differs. In inhalation studies the exposure occurs continuously, at least for certain duration. In last years, exposure durations of 6 h/d and 5 d/wk are commonly used. In contrast, instillation studies are always event related exposure studies, also if the instillations are repeated daily. This difference results in different kinetics in the body, e.g. efficacy of protection mechanism, clearance, transport or distribution kinetic (Oberdörster et al., 2005; Sturm and Hofmann, 2003, 2006). 56 3. Whole body inhalation studies are technically much easier than nose only and traditionally often used. However, rats do protect themselves by hiding their nose in the fur. In that case the derived LOEL would be too high. The second issue is that the particles are deposited on the fur and taken up orally during their grooming (Oberdörster et al., 2002). In that case the systemic distribution of the particles is biased and possible effects could not be assigned correctly. 4. Instillation studies have some limitations, like the non-physiological rapid delivery of the particles or fibres, the possible delivery of non-respirable aggregates, and the bypassing of the nose (Driscoll et al., 2000). Additionally, especially studies with low instillation number, often apply high doses to achieve similar doses as in inhalation studies. This leads to acute overload situations. However, when particle deposition was comparable, pulmonary responses to bolus instillation tended to reflect the pulmonary response to inhalation (Henderson et al., 1995). Nevertheless, intratracheal studies are very useful for mechanistic considerations or identification of hazard potential. 5. Pharyngeal studies are considered to better simulate the deposition behaviour than intratracheal studies and avoid the trauma associated with intratracheal instillation (Rao et al., 2003). Impaction of nanoparticle in the pharynx and subsequently diffusion into the lung is considered as possible mechanism for the deposition of airborne nano-objects. Pharyngeal application has the same limitations as other instillation techniques (Shvedova et al., 2005). 57 Tab. 32: Comparison of application routes Application route Nose / head only Whole body Intratracheal Pharyngeal Type Inhalation Inhalation Instillation Instillation Costs +++ ++ + + Feasibility (number of institutes) + ++ +++ +++ Exposure type Active inhalation of aerosols Active inhalation of aerosols Passive infusion of suspensions Passive infusion of suspensions Exposure regime Continuous exposure several h/d Continuous exposure several h/d Event related exposure Event related exposure Feature State of art method Rodents protect themselves (nose in the fur) Reflects artificial situations Is considered to reflect the impaction of nanoobject in the pharynx Particle on the fur could be taken up orally Animal stress by exposure technique - - Insertion of needle or cannula through laryngeal opening +++ ++ No complete list As described above intratracheal studies can generally be seen only as tool for hazard identification. As demonstrated in Tab. 16, Tab. 20 and Tab. 21 the toxicity ranking for different particles is similar in intratracheal studies compared to inhalation studies, e.g. effect levels for silicon dioxide are lower than for Carbon Black or for titanium dioxide. Therefore intratracheal studies may be useful at a screening level for identifying the general rank of toxicity for different particles or fibres, while inhalation studies then serve for risk assessment. 4.1.5 Dose measure An adequate dose is necessary to derive reliable dose response curves. Instead of particle mass as dose measure, the particle number or particle surface were proposed and discussed (Donaldson and Poland, 2013; Oberdörster et al., 2005, 2007; Wittmaack, 2007). As particle number is currently seldom available, a corresponding analysis could not be performed. Therefore, after an initial comparison of dose measures mass and surface (Fig 7), surface was used as dose measure in our analyses on neutrophils/PMNs (Fig 7), total protein (Fig 8) and LDH (Fig 9). Particle surface is calculated by multiplying the specific surface of the particles with the corresponding mass dose and thus combines the normal dose measure mass with the property specific surface of the primary particle. The figures clearly demonstrate different effect levels for the different particles, but no consistent dose response was detected for one particle type in most of the studies. An exception is LDH at day 1 (Fig 9). There regression lines have been inserted for different particle types. However, the relevance of this finding only for one parameter and one time point is questionable. In interpreting this lack of dose response, one has to be aware that several studies are combined in these figures, where particles may differ from study to study as well as treatment of the particles before exposure. Furthermore, there are studies with rats or mice, which may give different results. 58 The specific surface used for the calculation of surface in Fig 7, Fig 8 and Fig 9 is based on the data for characterising the primary particles. However, nano-objects tend to aggregate or agglomerate in the exposure atmosphere or instillation medium and are therefore seldom applied as real nano-object (Fig 3). Furthermore, several studies have shown that aggregates/agglomerates stay stable in the lung. On the other side, our analyses have shown that the toxicity of nanoparticles tend to be higher than the toxicity of larger particles. Therefore it may be possible that the surface of the individual particles is still available for inducing reactions in the airways. Therefore it might be helpful to identify a relevant property of the secondary particles (aggregates/agglomerates) and to include this into the dose measure (e.g. MMAD, specific surface area or volume, biologically available surface area, (Han et al., 2012)). An additional drawback is that not for all particles specific surfaces are available. For this reason e.g. silver, the most toxic particle in our LOEL analyses (Tab. 16, Tab. 20, Tab. 21) is missing in the three figures. On the other side, this presentation of the data allows an easy comparison of effect sizes. Overall our analyses of dose response have to be considered as a first tier that was possible within the scope of this pilot project. More detailed analyses are desirable involving all time points, routes, measures of dose and also other endpoints. Also according to our analyses particle surface seems to be a better dose measure than particle mass. 4.1.6 Target organs and important effects As expected, the respiratory tract with lung, nose, trachea, larynx, pharynx, bronchi, parameters in BALF and lymph nodes are important targets in studies with nano-objects (Fig 4, Tab. 12). Many different effects are found in histopathological examinations of the respiratory tract, including infiltration (Tab. 12, Tab. 27, Tab. 28), fibrosis, inflammation, hyperplasia and different types of tumours (Tab. 12). In addition lung weight turned out to be a sensitive parameter for particle toxicity (Tab. 29 and Tab. 30). Increased lung weight may be caused by several processes in the lung such as invasion of inflammatory cells, haemorrhage, proteinosis, cell proliferation, fibrosis, collagen, oedema, granuloma, hyperplasia or tumours. An important effect in BALF is increased numbers of neutrophils/PMNs and macrophages. This parameter has been further investigated in Fig 7. As described in section 3.5.1. Other frequent effects in BALF are total protein and LDH (Tab. 12), which also have been further explored (Fig 8, Fig 9). Many studies investigated only effects in the respiratory tract. Therefore effects at other locations than the respiratory tract are not detected in a query for frequent effects. To detect also studies, where other target organs are studied we made a specific query (Tab. 13). Indeed, indications for migration of the nano-objects were found: In several studies besides the lymph nodes also effects in the haematological system were found. Some studies reveal effects in the pleura, known to be primarily affected by fibres. Effects in the liver probably come from oral uptake of the nano-objects, either as a result of clearance or from grooming the fur in whole body inhalation studies (see 4.1.4). 4.1.7 New parameters In addition to the parameters mentioned above, different cytokines have been investigated. As Tab. 17 and Tab. 19 show for the example of heavy metals and nanotubes, there is a large variety and few have been studied in more than 1 study. Cytokines are often determined in in vitro studies, thus they may build a link to in vitro studies. However, actually no conclusions can be drawn on the relevance of these investigations. 59 It may be interesting to find out, which of the many new endpoints beyond the scope of OECD guideline studies in studies with particles or fibres are sensitive and also relevant for investigating the mode of action of particles and fibres. 4.1.8 LOELs Effect LOELs are suitable tools for comparing endpoints/effects in toxicological studies. They have already been successfully used in our analyses with RepDose (Batke et al., 2011; Bitsch et al., 2006; Escher et al., 2010). Therefore we performed corresponding analyses with the PaFtox database. At first we have compared the toxicity of different nanomaterials. The most toxic compound was silver (Tab. 16, Tab. 20, Tab. 21). High toxicity was also found for MWCNTs confirming the concern for the toxicity of nanotubes. Another important question is, if – in general – nanoparticles are more toxic than larger particles with the same composition. Our analyses with the PaFtox database (Tab. 20, Tab. 21) have indeed shown that based on LOELs the toxicity of nanoparticles is generally higher than for the corresponding fine particles. Lower LOELs have been found for different time points for nanosized Carbon Black, silicon dioxide, titanium dioxide and Nickel oxide in inhalation and in intratracheal studies than for particles with diameters above 250 nm. The ratio of LOELs was calculated if pairs of LOELs for fine and nanoparticles of the same substance were available (whole body inhalation and intratracheal instillation). The median ratio of LOELs of nanoparticles (< 56 nm) and larger particles in Tab. 20 is about 18 (n=31). A similar pattern is observed, when LOELs are compared for different surface categories (Tab. 21). The median ratio here is 5 for LOELs of nanoparticles (>70 m2/g) and larger particles (n=26). Although the general trend is obvious, these results have to be treated with care, because some of the LOELs are not true LOELs, i.e. dose levels, where only marginal effects occur. In the case of particle or fibre studies, often only one dose level has been used, that had been selected to cause a significant effect. This is different from OECD guidelines, where three dose levels are, and the lowest dose is intended to provide the NOEL, the next dose the “real” LOEL. Thus it is not clear, whether these LOELs are real LOELs, as often the corresponding NOEL is missing (in 47 of 55 with more than 1 dose level), which would allow to identify the real LOEL. NOELs are available for subacute or subchronic inhalation studies with Silicon dioxide, Aluminium oxyhydroxide, Titan dioxide and Carbon Black. In a similar approach Gebel (2012) has analysed tumour rates in carcinogenicity studies with GBS including talc, toner, coal dust, titanium dioxide, Carbon Black and diesel exhaust particulates. Gebel found, when comparing carcinogenic potency of GBP of fine particles and nanoparticles a median ratio of 2.26 if the dose measure was based on particle mass and a ratio of 0.91 when the dose measure was based on surface area of the particles. While we made a pairwise comparison i.e. compared fine particles with nanoparticles for each substance, e.g. TiO2, Gebel has pooled potency indices for all different particles. For a better comparison, for studies where the data basis consists of 3 dose levels and more, dose response could be modelled, as performed for TiO2 by Dankovic et al. (2007). Suitable parameters would be parameters that are measured in many studies and are rather sensitive, such as neutrophils/PMNs, total protein in BALF, or lung weight. For these parameters one may compare the dose levels of nanoparticles and larger particles for a given effect size and derive a more reliable ratio. 4.1.9 Exposure duration versus time point Currently, the PaFtox database contains long term studies i.e. the exposure duration in inhalation studies or observation duration in instillation studies is longer than 20 days. Shorter time points or categories thereof 60 analysed in this database are interim sacrifices. However, there are many other studies available with shorter study duration and valuable information on effects as already entered but also information on kinetics and fate of nano-objects in the body. Therefore these studies could supplement the current database, e.g. the study of Kreyling (2010). 4.1.10 Overload If one looks at the definition of lung overload with a particle mass of 1-2 mg/g lung = 0.1 – 0.2% of (Oberdörster et al., 1990), inhalation studies with titanium dioxide and aluminium oxyhydroxide have been performed under severe overload conditions (Tab. 29). Also with Carbon Black studies overload was achieved, while studies with MWCNT just reach the border for overload. Studies with silicon dioxide were mostly below the threshold. In general it is questionable, whether studies with overload conditions are reasonable for characterizing the toxicity of a nano-object. It is assumed, that under overload situation unspecific responses occur that have not much to do with realistic exposure situations. However the latter have to be evaluated for the purpose of risk assessment. 4.1.11 Reversibility of effects It was analysed if effects appear or disappear during the exposure or post exposure duration (3.4.2). Interestingly, no effect disappears during the postexposure duration indicating that no effect was in general reversible. However, it can be assumed, that at least for some effects the grading/scoring may be lower after postexposure. This has still to be analysed. Furthermore some effects appear firstly in the postexposure duration. The later appearing effects are mainly associated with chronic inflammation or follow up reaction (worst case tumour) to long term irritations by the nano-objects. This general effect pattern is different from studies with chemicals. 4.1.12 Genotoxicity Genotoxicity is discussed as one possible mode of action for particles (Schins, 2002). However, in vitro genotoxicity may not be relevant in vivo due to defence mechanisms (Donaldson et al., 2010). In addition recent analyses have shown, that carcinogenicity is not predicted very well (Roller, 2011). In the PaFtox database genotoxicity in vivo was only included as endpoint, when it was analysed in corresponding long term studies (Tab. 22). For the different nano-objects positive as well as negative results were obtained for endpoints like 8-OHdG, 8-oxoGua, HPRT mutations and p53 mutations. For analysis of genotoxicity in vivo in more detail, it would be necessary to include specific genotoxicity studies in vivo into the database. 4.2 Concepts for Grouping of nanomaterials 4.2.1 Groups proposed in the literature Based on the presumption that there are common modes of action for several types of nanomaterials, groups for different types of nano-objects have been proposed. These groups will be presented in the following including the compounds assigned to these groups and the rationale for grouping. Based on our analyses of the data in the PaFtox database these groupings will be evaluated. 61 Nano GBP GBP means Granular Biopersistent Particles with no or little intrinsic chemical toxicity (inert particles (DFG, 2013)). This grouping of nanoparticles is consistent with the grouping of granular micromaterials (Greim and Ziegler-Skylakakis, 2007). Roller and Pott (2006) originally introduced the term GBP with a slightly different definition, i.e. granular biodurable particles without known significant specific toxicity. According to Gebel (2012) there are also other abbreviations in the literature, i.e. PSP for poorly soluble particles and PSLT for poorly soluble, low toxicity particles that are specifying the same group of particles. (Nano)particles assigned to this group are e.g.: TiO2, BaSO4 (Dankovic et al., 2007), talc, toner, coal dust, Carbon Black, diesel exhaust emissions (Dankovic et al., 2007; Gebel, 2012; Roller, 2009), zirconium oxide (Packroff, 2011b). GBP (nano)particles included in the PaFtox Database are Carbon Black, aluminium oxide, aluminium trioxide, aluminium oxyhydroxide, titanium dioxide and toner (Tab. 11). These particles are called biodurable or persistent due to the fact that these particles stay in the lung in inhalation studies and after intratracheal administration and are not readily removed or dissolved. The PaFtox database contains data on lung burden of the GBP TiO2, Carbon Black and aluminium oxyhydroxide in inhalation studies. Particle load in the lung is high, demonstrating the biopersistence of these particles. Typical effects caused by GBP are inflammation, oxidative stress and secondary genotoxicity at the lung as the target organ after inhalation (DFG, 2013; Greim and Ziegler-Skylakakis, 2007). Accordingly analyses of the PaFtox database indicate the following important effects: in BALF neutrophils/PMNs, total cells, macrophages as well as LDH and total protein are increased, the lung weight is increased. Findings in histopathological examinations include infiltration of macrophages, hyperplasia of alveolar type II cells, fibrosis and finally tumours. Generally no NOELs are provided in these proposals for grouping, that would separate particles with little intrinsic toxicity from particles with higher toxicity. Based on our data the limit for the LOEL in inhalation studies could be about 0.1 mg/m3 (Tab. 20). Usually LOELs decrease with increasing exposure duration. This was not evident from our analyses (Tab. 20), which include also short study durations. Therefore, it may be possible to use this preliminary threshold irrespective of study duration. When considering this value one has to be aware that the exposure concentration was normalized with respect to exposure duration to 24 hours/day and 7 days/week. This would include aluminium oxyhydroxide, Carbon Black and amorphous silicon dioxide, while titanium dioxide would be just below the limit. For intratracheal studies, the data are too inconsistent to derive such a value. (Nano)particles with specific toxicity In contrast to the “inert” particles described above, there are particles with specific toxicity, which have a higher toxicity than GBS. Crystalline silica usually is considered to belong to this group. An interesting finding in the analyses of specific effects of silica (Tab. 18) is that nano amorphous or micro crystalline silica cause necrosis in the nose, bronchi, and lung reflecting the potential of silica to cause severe effects as a consequence of inflammation. Another specific subgroup with high toxicity according to DFG (2013) are metal-based particles (presumably poorly soluble metal compounds). We propose, however, to use the more specific term “heavy metal-based particles”, as the light metals titanium and aluminium are also metals. 62 Examples for heavy metals belonging to this group are copper (DFG, 2013), cadmium, nickel, cobalt (Packroff, 2011b). In the PaFtox database the following heavy metal compounds are included; iron(II,III) oxide, manganese(IV) oxide, nickel, nickel hydroxide, nickel oxide and silver. According to DFG (2013), the “toxicity depends largely on the actual compound, i e. type of metal, metal species and surface characteristics; relevant endpoints are again oxidative stress and inflammation as well as metal-specific cellular interactions. “ Analyses of the PaFtox database correspondingly show that heavy metal based particles cause effects similar to GBS, but in addition, some metal specific effects were found (Tab. 17), e.g. • increased weight of the adrenal gland and functional disorders of the brain and nervous system, increased liver weight for manganese oxide, • liver hyperplasia, necrosis, vacuolization and weight increase for silver. In this group of nanoparticles there may be differences in toxicity depending on solubility as stated by DFG (2013): “Interestingly, some nanoparticles, as shown in the case of copper, appear to be more toxic and stimulate more intense inflammatory responses than do their water soluble or microscale particle counterparts, based on the same metal content. This appears not to be due to increased extracellular solubility, but may be explained by higher intracellular bioavailability after endocytosis and lysosomal dissolution of the particles, although this still has to be confirmed experimentally”. Similarly, soluble nickel sulphate nanoparticles were less toxic than less soluble nickel hydroxide nanoparticles in an inhalation study (Kang et al., 2011). Analyses of the influence of solubility on the toxicity of nanoparticles were not possible with the PaFtox database, because data on solubility were not available. However, instead of water solubility, data on solubility in artificial body fluids, i.e. alveolar fluid, interstitial fluid and stomach fluid are considered as more relevant and should be measured for particles that have been investigated in toxicological studies in order to derive correlations. Soluble (Nano)particles without significant toxicity Another group that has been proposed are “soluble nanoparticles without significant toxicity” (Packroff, 2011b). Amorphous silicon dioxide belongs to that group. This is consistent with our analyses showing low toxicity of silicon dioxide nanoparticles in subchronic to chronic inhalation studies (Tab. 20, Tab. 21) and a recent evaluation indicating low genotoxic/carcinogenic potential (Rittinghausen et al., 2013). In contrast, in intratracheal studies low effect concentrations were found especially for acute effects, e.g. neutrophil count is a sensitive parameter (Fig 7) and serious effects are found also for amorphous silica, e.g. inflammation, necrosis, spongiosis, histiocytosis or changes in organ structure (Tab. 18). The acute toxicity is consistent with recent findings of Pavan et al. (2013), where fully amorphous silica showed more haemolytic activity than crystalline silica. The authors found that particle size and silanols or siloxane bridges at the surface are the main actors for the haemolytic activity, while crystallinity or free radical production are no strict predictors. In other in vitro tests (cytotoxic activity, oxidative stress, and inflammatory response) all amorphous silicas where less toxic than crystalline, but among the amorphous silicas pyrogenic silicas, irrespective of their size and agglomeration/ aggregation pattern, appeared more reactive towards cells than the precipitated ones (Gazzano et al., 2012). 63 Thus, it may be justified only for long-term studies to speak about low toxicity of amorphous silicon dioxide. The low toxicity presumably is mainly triggered by lack of accumulation and adaptation in the body in inhalation studies or dissolution in intratracheal studies. We are not aware about clear criteria to be categorized as “soluble” nanoparticle. However, measuring stability of nanoparticles in artificial body fluids (as indicated above) could provide information on the dissolution behaviour of nanoparticles and borders should be defined to distinguish between high and low solubility. Nanotubes (Nanofibres) Fibre-like nanomaterials are also called HARN, which refers to High Aspect Ratio Nano-objects with the following specifications according to Tran et al. (2008): • Length to diameter aspect ratio greater than 10 to 1 • Diameter thin enough to pass ciliated airways • Length long enough to initiate the onset of e.g. frustrated phagocytosis and other inflammatory pathways, • The nanomaterial must be biopersistent From experience with asbestos and synthetic mineral fibres there is concern that the shape of the materials is an important parameter determining toxicity, especially carcinogenicity. Health effects of asbestos comprise several types of pleural and parenchymal lung disease associated with inhalation of asbestos fibres. Nanomaterials with fibrous shape therefore have been separated as a group. In fact several studies have confirmed the concern for carcinogenicity for fibrous nanomaterials, e.g. Takagi et al. (2008). In the PaFtox database intratracheal and inhalation studies with SWCNT and MWCNT are included. Their toxicity ranges from low to high, indicating that in addition to shape as parameter determining toxicity additional factors are necessary. When analysing the effects in studies with nanotubes in the PaFtox database, effects typical for asbestos-like fibres could be found such as thickening of the pleura indicating migration of fibres to the pleura and potential for induction of mesotheliomas, a tumour in the pleura typical for fibre exposure. It is important to note that the chemical composition and size may be not sufficient to characterise a particle sufficiently. For silicon dioxide, crystalline and amorphous silicon dioxide are distinguished. Crystalline silicon dioxide is more toxic and more stable, while amorphous silicon dioxide has high acute toxicity and low long term toxicity and is soluble to some degree (Rittinghausen et al., 2013). Similarly for titanium dioxide two crystalline modifications, rutile and anatase are known that differ with respect to their crystal structure and with respect to toxicity. In addition to crystal structure, surface modifications are discussed to change the toxicity (Rossi et al., 2010) and are also subject of an ongoing BAuA research project at Fraunhofer ITEM (F2246). 4.2.2 Grouping of nanomaterials for optimized testing strategies Nanomaterials fall under the legislation of REACH, where testing requirements are still discussed. It will be impossible to perform a full testing program for all nanomaterials with all modifications and in all use scenarios, notwithstanding that modification or use/release scenarios may alter their biological effects. 64 Alternatively, it should be evaluated, if it is possible to assign certain biological effects to specific material properties (physical properties and chemical and crystal structure) and group nanomaterials based on these material properties. According to Nel et al. (2013), a high throughput-platform is required in analogy to the US ToxCast Project to investigate the bio-physico-chemical interactions at the nano/bio interface in order to make predictions about the physico-chemical properties of nanomaterials that may lead to pathology or disease outcome in vivo. In vivo results are used to validate and improve the in vitro high throughput screening and to establish structure-activity relationships that allow hazard ranking and modelling by an appropriate combination of in vitro and in vivo testing. In the following parameters are briefly specified which may be part of a grouping strategy. Toxicity in vivo Performing studies in vivo would be the most reliable and toxicologically sound approach for assessing the risk of nanomaterials. The question is, whether there may be surrogates for chronic inhalation studies which render testing of nanomaterials more effective: For in vivo studies study duration, application route, scope of examination may be analysed. Concerning study duration a short term inhalation test has been proposed by Ma-Hock et al. (2009) based on comparison of a 5 day inhalation study with a 90 day inhalation study. Rats shall be exposed for 5 days, 6h/day. Examinations shall be performed at day 3 and 21 postexposure. Sensitive parameters that should be measured in BALF are cell counts, total protein levels, enzyme activities and mediators of inflammatory cell infiltration (MCP-1, MCP-3, MDC, IL-8, MIP-2) and cell proliferation (M-CSF, osteopontin) as well as immune modulation (IL-1, IL-6, TNF-α). Our preliminary analyses support the view that short-term tests with appropriate postexposure periods may be sufficient for identification of risks of nano-objects. LOELs for short term exposure of nano-objects (i.e. 10 days) are in a similar order of magnitude as LOELs for longer durations up to chronic (Tab. 20, Tab. 21). Sensitive parameters are number of neutrophils and total protein in BALF as well as lung weight. Concerning exposure route, intratracheal studies are frequently performed instead of inhalation studies, which are much more expensive. For risk assessment however, inhalation studies are clearly preferable. For hazard ranking or forming of groups, intratracheal studies seem to be sufficient. As discussed under “GBS” dose levels may be provided that allow distinguishing GBS from particles with specific toxicity. Toxicity in vitro In in vitro studies genotoxicity and generation of reactive oxygen species are frequently investigated with respect to their general predictive power for in vivo situations. In vitro DNA damage tests (especially the Comet assay) and in vitro chromosome mutation assays are the most frequently used genotoxicity tests on nano-objects. According to Roller (2011) nearly all types of nanomaterials and control dusts used in the in vitro assays showed genotoxic effects in cell cultures (e.g. CoCr particles, diesel soot, crystalline and amorphous SiO2,TiO2, Carbon Black) but not consistently in all studies. Roller concluded that there is no clear correlation of the probability of a positive in vitro test with particle properties. We came to a similar conclusion in an evaluation of the literature in a research project from the German BAUA (Ziemann et al., 2011). Unfortunately, in most studies nano-objects used were not well characterized with respect to chemical composition and physicochemical properties. Therefore more 65 research is necessary with well characterized nanomaterial to identify suitable genotoxicity tests and dose measures for grouping of nano-objects. According to Rushton et al. (2010) in vitro tests on ROS generation correlate well with inflammation in vivo (increase of neutrophils after intratracheal instillation), provided that particles are compared based on particle surface and the steepest slope of the dose response curve as dose metric. Toxicokinetics Fate and kinetics may also give a measure for grouping nanomaterials, for example, if the distribution and mode of action are the same, but the bioavailability is different (due to differences in size). Identical distribution patterns in tissues could be a criterion for grouping different nanomaterials. An example would be grouping of nanomaterials in a separate group that can be found in other locations than the respiratory tract, raising concern for nano-objects specific systemic effects. Biopersistence is another important criterion for particle and fibre toxicity, because it is assumed that it has impact on the mode of action and reversibility of effects. If a nanomaterial rapidly dissolves, the substance could be treated as a conventional chemical. We are not aware about criteria for defining nanomaterials as persistent or not. Physicochemical properties Several physicochemical properties of nanoparticles are currently proposed to be good predictors of toxicity of nanoparticles. In the following some examples are given from recent studies: Crystal structure is an important determinant for reactivity of the surface of a nanomaterial. For silicon dioxide, crystalline and amorphous silicon dioxide are distinguished. Crystalline silicon dioxide is more toxic and more stable, while amorphous silicon dioxide has high acute toxicity and low long term toxicity and is soluble to some degree (Rittinghausen et al., 2013). Similarly for titanium dioxide two crystalline modifications, rutile and anatase are known that differ with respect to their crystal structure and with respect to toxicity. Jiang et al. (2008) showed that the in vitro-reactivity of different types of TiO2 nanoparticles depends on the defect site density in the crystal structure. The number of defects per unit surface area was translated into the activity in producing ROS in vitro. Amorphous TiO2 has much higher surface defect density compared to anatase and rutile TiO2 since its structure is not periodic. These analyses correlate with generation of ROS in in vitro systems as well as pulmonary inflammatory response of nanoparticles determined by number of neutrophils in lung lavage 24 hous after intratracheal instillation of different nanomaterials (Rushton et al., 2010). In addition to crystal structure, surface modifications are discussed to change the toxicity (Rossi et al., 2010) and are also subject of an ongoing BAuA research project at Fraunhofer ITEM (F2246). The zeta potential provides information concerning the particles surface charge. It is the electrical potential created between the surface of a particle with its associated ions, and it’s medium. According toCho et al. (2012) the acute pulmonary inflammogenicity of 15 nanoparticles showed a significant correlation for low solubility nanoparticles. This correlation found for zeta potential was not applicable for soluble nanoparticles. Conduction band energy levels have recently been proposed as promising approach for future screening of nanomaterials (Zhang et al., 2012). For 24 different metal oxide nanoparticles of the same size it was shown that the toxicity of nanoparticles was high when the conduction band energy levels of the metal oxides was 66 close to the redox potential in cells which ranges from -4.12 to -4.84eV. Metals with conduction band energy outside this range were less toxic. Soluble nanoparticles had a higher toxicity than predicted. Both analyses support the general view that soluble and insoluble nanomaterials have to be distinguished. Dose measure for grouping of nanoparticles In the conventional chemical toxicology, researchers generally use the mass as the metric to describe dose. In the case of nanoparticles, the particle number or the surface area have been discussed. Several recent studies have confirmed the use of particle surface as generally usable dose measure for insoluble particles (Han et al., 2012; Jiang et al., 2008; Rushton et al., 2010). Concerning effect size, the reference values ED10 or ED50 (dose with 10 or 50 % effect) have been used, LOELs and NOELs (Roller, 2011), or the steeped slope of the dose response curve (Rushton et al., 2010). Combination of parameters As already obvious from groupings of nanoparticles currently proposed (see 4.2.1) several parameters are necessary for specifying a group, i.e. shape, biopersistence and toxicity. Fig 11: Illustration of grouping of nanoparticles based on material properties and/or biological effects (from Oomen et al. (2013)). Fig 11 shows nanomaterials grouped according to surface chemistry/activity, material, shape, size, solubility, release of ions, ADCE (absorption, distribution, corona formation, and elimination), early biological effects and also nanomaterials not assignable to a group. A given nanomaterial could also belong to more than one group. A large number of property combinations should be considered in order to assess the overall hazard of a single material type. The PaFtox database would be a useful tool in the future for collecting data on the parameters described above, selecting suitable properties and validate the groupings. 5 Conclusion and outlook The amount and quality of cancer studies as well as studies on genotoxicity of nanomaterials are insufficient to assess the carcinogenicity of nanomaterials. On the other side cell proliferation in the lung as a consequence of inflammation may be an important precursor of cancer. Therefore repeated dose inhalation studies or studies with intratracheal instillation were analysed with the purpose to identify effects that may be 67 precursors of carcinogenicity and to analyse dose response for these effects as basis for regulation of nanomaterials. For getting a better overview and as basis for statistical analyses and analyses of dose response the data were collected in the relational database PaFtox. Despite the heterogeneous data available, some general conclusions can be drawn. Inflammation was detected with all nanomaterials investigated, however, at different dose levels. Sensitive parameters of nano-object toxicity are lung weight, numbers of neutrophils/PMNs in BALF, as well as total protein and LDH in BALF. Further histopathological examinations of the overall respiratory tract reveal numerous effects that are related to inflammation and subsequent cell proliferation. Nano-objects have consistently a higher toxicity than non-nano-objects. On the other side there are considerable differences in the toxicity of different materials. From the particles selected for this project, silver had the highest toxicity. Although we did not detect a reliable dose response for effects as a function of particle surface, this dose measure gave a good graphical representation of the toxicity of different particles. While inhalation studies are preferable for risk assessment, intratracheal studies are suitable for ranking toxicity of different nanoobjects. We have used our data also to reflect on proposals for grouping of nanomaterials made by different institutions. Although groups are proposed, the criteria for assigning nanomaterials to these groups are not well defined, this refers to toxicity as well as solubility. Concerning toxicity a preliminary LOEL of 0.1 mg/m3 (exposure 24 hours/day, 7 days/week) is proposed to distinguish so called “inert particles” (carbon black, titanium dioxide, silicon dioxide) from particles with specific toxicity, i.e. particles with specific toxicity have lower LOELs. Our data further support to have nanotubes in a separate group. Currently interesting new parameters are identified that influence the toxicity of (nano)particles that may help in the future for better separation of groups. Currently, only a selection of particles and fibres was analysed by means of the database. In the last years a huge amount of short term in vivo and in vitro studies with various nanomaterials was performed. At least some studies are publicly available and the nanomaterial investigated fulfil more criteria of nano-object characterisation. It would therefore be desirable to analyse all these data along the lines of this project to identify more criteria for grouping approaches and /or to identify patterns of nanomaterial behaviour. Also recent studies with a more guideline-like design as undertaken under the OECD sponsorship program should be included. By specific searches more information for the physico-chemical characterization of the particles and fibres should be integrated, such as BET surface or solubility. Based on a broader database, additional and more specific queries should be performed addressing the question of dose response, particle specific effects, prediction of long term effects (including cancer) from short term studies, influence of surface changes on particle toxicity etc. Based on such data, criteria for read across and QSAR-like approaches for nanoparticles could be developed as well as final criteria for grouping of nanomaterials. 68 6 References Batke M, Escher S, Hoffmann-Doerr S, Melber C, Messinger H and Mangelsdorf I, (2011): Evaluation of time extrapolation factors based on the database RepDose. Toxicology Letters, 205, 122-129. BAuA (2007): Leitfaden für Tätigkeiten mit Nanomaterialien am Arbeitsplatz. Available from www.baua.de/nn_44628/de/Themen-von-A-Z/Gefahrstoffe/Nanotechnologie/pdf/LeitfadenNanomaterialien.pdf BAuA/BfR/UBA (2007): Nanotechnologie: Gesundheits- und Umweltrisiken von Nanomaterialien – Forschungsstrategie. Available from www.baua.de/nn_47716/de/Themen-von-AZ/Gefahrstoffe/Nanotechnologie/pdf/Forschungsstrategie.pdf Becker H, Herzberg F, Schulte A and Kolossa-Gehring M, (2011): The carcinogenic potential of nanomaterials, their release from products and options for regulating them. Int J Hyg Environ Health, 214, 231-238. Bitsch A, Jacobi S, Melber C, Wahnschaffe U, Simetska N and Mangelsdorf I, (2006): REPDOSE: A database on repeated dose toxicity studies of commercial chemicals--A multifunctional tool. Regulatory Toxicology and Pharmacology, 46, 202-210. Brunauer S, Emmett PH and Teller E, (1938): Adsorption of Gases in Multimolecular Layers. Journal of the American Chemical Society, 60, 309-319. Cho WS, Duffin R, Thielbeer F, Bradley M, Megson IL, Macnee W, Poland CA, Tran CL and Donaldson K, (2012): Zeta potential and solubility to toxic ions as mechanisms of lung inflammation caused by metal/metal oxide nanoparticles. Toxicological Sciences, 126, 469-477. Creutzenberg O, Bellmann B, Korolewitz R, Koch W, Mangelsdorf I, Tillmann T and Schaudien D, (2012): Change in agglomeration status and toxicokinetic fate of various nanoparticles in vivo following lung exposure in rats. Inhalation Toxicology, 24, 821-830. Dankovic D, Kuempel E and Wheeler M, (2007): An approach to risk assessment for TiO2. Inhalation Toxicology, 19 Suppl 1, 205-212. DFG (Deutsche Forschungsgemeinschaft), (2013): Nanomaterials. Commission for the Investigation of Health Hazards of Chemical Compounds in the Work Area. DFG_Publikationen. Donaldson K and Poland CA, (2013): Nanotoxicity: challenging the myth of nano-specific toxicity. Current Opinion in Biotechnology. Donaldson K, Poland CA and Schins RP, (2010): Possible genotoxic mechanisms of nanoparticles: criteria for improved test strategies. Nanotoxicology, 4, 414-420. Driscoll KE, Costa DL, Hatch G, Henderson R, Oberdorster G, Salem H and Schlesinger RB, (2000): Intratracheal Instillation as an Exposure Technique for the Evaluation of Respiratory Tract Toxicity: Uses and Limitations. Toxicological Sciences, 55, 24-35. EC (2010): European Commission recommendation on the definition of the term “Nanomaterial". Available from http://ec.europa.eu/environment/consultations/pdf/recommendation_nano.pdf Escher SE, Tluczkiewicz I, Batke M, Bitsch A, Melber C, Kroese ED, Buist HE and Mangelsdorf I, (2010): Evaluation of inhalation TTC values with the database RepDose. Regulatory Toxicology and Pharmacology, 58, 259-274. Gazzano E, Ghiazza M, Polimeni M, Bolis V, Fenoglio I, Attanasio A, Mazzucco G, Fubini B and Ghigo D, (2012): Physicochemical determinants in the cellular responses to nanostructured amorphous silicas. Toxicological Sciences, 128, 158-170. Gebel T, (2012): Small difference in carcinogenic potency between GBP nanomaterials and GBP micromaterials. Archives of Toxicology, 86, 995-1007. Gonzalez L, Lison D and Kirsch-Volders M, (2008): Genotoxicity of engineered nanomaterials: A critical review. Nanotoxicology, 2, 252-273. Greim H and Ziegler-Skylakakis K, (2007): Risk assessment for biopersistent granular particles. Inhalation Toxicology, 19 Suppl 1, 199-204. 69 Han X, Corson N, Wade-Mercer P, Gelein R, Jiang J, Sahu M, Biswas P, Finkelstein JN, Elder A and Oberdorster G, (2012): Assessing the relevance of in vitro studies in nanotoxicology by examining correlations between in vitro and in vivo data. Toxicology, 297, 1-9. Henderson RF, Driscoll KE, Harkema JR, Lindenschmidt RC, Chang IY, Maples KR and Barr EB, (1995): A Comparison of the Inflammatory Response of the Lung to Inhaled versus Instilled Particles in F344 Rats. Fundamental and Applied Toxicology, 24, 183-197. Heyder J, (2004): Deposition of Inhaled Particles in the Human Respiratory Tract and Consequences for Regional Targeting in Respiratory Drug Delivery. Proc Am Thorac Soc, 1, 315-320. International Commission on Radiological Protection, (1994): Human respiratory tract model for radiological protection. A report of a Task Group of the International Commission on Radiological Protection. Annals of the ICRP, 24, 1-482. Jiang J, Oberdorster G, Elder A, Gelein R, Mercer P and Biswas P, (2008): Does Nanoparticle Activity Depend upon Size and Crystal Phase? Nanotoxicology, 2, 33-42. Kang GS, Gillespie PA, Gunnison A, Rengifo H, Koberstein J and Chen LC, (2011): Comparative pulmonary toxicity of inhaled nickel nanoparticles; role of deposited dose and solubility. Inhalation Toxicology, 23, 95-103. Kolling A, Ernst H, Rittinghausen S and Heinrich U, (2011): Relationship of pulmonary toxicity and carcinogenicity of fine and ultrafine granular dusts in a rat bioassay. Inhalation Toxicology, 23, 544-554. Kreyling WGW, A.; Semmler-Behnke, M., (2010): Quantitative Biokinetik-Analyse radioaktiv markierter inhalierter Titandioxid-Nanopartikel in einem Rattenmodell., FKZ 3707 61 301/01; UBA-FB 001357. Ma-Hock L, Burkhardt S, Strauss V, Gamer A, Wiench K, van Ravenzwaay B and Landsiedel R, (2009): Development of a Short-Term Inhalation Test in the Rat Using Nano-Titanium Dioxide as a Model Substance. Inhalation Toxicology, 21, 102-118. Nel A, Zhao Y and Mädler L, (2013): Nanomaterial Toxicity Testing in the 21st Century: Use of a Predictive Toxicological Approach and High-Throughput Screening. Acc. Chem . Res., 46, 607-621. Oberdörster G, Ferin J, Finkelstein G, Wade P and Corson N, (1990): Increased pulmonary toxicity of ultrafine particles? II. Lung lavage studies. Journal of Aerosol Science, 21, 384-387. Oberdörster G, Oberdörster E and Oberdörster J, (2005): Nanotoxicology: an emerging discipline evolving from studies of ultrafine particles. Environmental Health Perspectives, 113, 823-839. Oberdörster G, Oberdörster E and Oberdörster J, (2007): Concepts of nanoparticle dose metric and response metric. Environmental Health Perspectives, 115, A290. Oberdörster G, Sharp Z, Atudorei V, Elder A, Gelein R, Lunts A, Kreyling W and Cox C, (2002): Extrapulmonary translocation of ultrafine carbon particles following whole-body inhalation exposure of rats. J Toxicol Environ Health A, 65, 1531-1543. Oomen AG, Bos PM, Fernandes TF, Hund-Rinke K, Boraschi D, Byrne HJ, Aschberger K, Gottardo S, von der Kammer F, Kuhnel D, Hristozov D, Marcomini A, Migliore L, Scott-Fordsmand J, Wick P and Landsiedel R, (2013): Concern-driven integrated approaches to nanomaterial testing and assessment - report of the NanoSafety Cluster Working Group 10. Nanotoxicology. Pauluhn J, (2010): Subchronic 13-week inhalation exposure of rats to multiwalled carbon nanotubes: toxic effects are determined by density of agglomerate structures, not fibrillar structures. Toxicological Sciences, 113, 226-242. Pavan C, Tomatis M, Ghiazza M, Rabolli V, Bolis V, Lison DF and Fubini B, (2013): In Search of the Chemical Basis of the Hemolytic Potential of Silicas. Chemical Research in Toxicology. Rao GV, Tinkle S, Weissman DN, Antonini JM, Kashon ML, Salmen R, Battelli LA, Willard PA, Hoover MD and Hubbs AF, (2003): Efficacy of a technique for exposing the mouse lung to particles aspirated from the pharynx. J Toxicol Environ Health A, 66, 1441-1452. Rittinghausen S, Bellmann B, Creutzenberg O, Ernst H, Kolling A, Mangelsdorf I, Kellner R, Beneke S and Ziemann C, (2013): Evaluation of immunohistochemical markers to detect the genotoxic mode of action of fine and ultrafine dusts in rat lungs. Toxicology, 303, 177-186. Roller M, (2009): Carcinogenicity of inhaled nanoparticles. Inhalation Toxicology, 21, 144-157. 70 Roller M, (2011): In vitro genotoxicity data of nanomaterials compared to carcinogenic potency of inorganic substances after inhalational exposure. Mutation Research, 727, 72-85. Roller M and Pott F, (2006): Lung tumor risk estimates from rat studies with not specifically toxic granular dusts. Annals of the New York Academy of Sciences, 1076, 266-280. Rossi EM, Pylkkanen L, Koivisto AJ, Vippola M, Jensen KA, Miettinen M, Sirola K, Nykasenoja H, Karisola P, Stjernvall T, Vanhala E, Kiilunen M, Pasanen P, Makinen M, Hameri K, Joutsensaari J, Tuomi T, Jokiniemi J, Wolff H, Savolainen K, Matikainen S and Alenius H, (2010): Airway exposure to silica-coated TiO2 nanoparticles induces pulmonary neutrophilia in mice. Toxicological Sciences, 113, 422-433. Rushton EK, Jiang J, Leonard SS, Eberly S, Castranova V, Biswas P, Elder A, Han X, Gelein R, Finkelstein J and Oberdorster G, (2010): Concept of assessing nanoparticle hazards considering nanoparticle dosemetric and chemical/biological response metrics. J Toxicol Environ Health A, 73, 445-461. Schaudien D, Knebel J, Mangelsdorf I, Voss J-U, Koch W and Creutzenberg O (2011): BAuA Research Project F 2133 - Dispersion and Retention of Dusts Consisting of Ultrafine Primary Particles in Lungs. Schins RPF, (2002): MECHANISMS OF GENOTOXICITY OF PARTICLES AND FIBERS. Inhalation Toxicology, 14, 57-78. Shvedova AA, Kisin ER, Mercer R, Murray AR, Johnson VJ, Potapovich AI, Tyurina YY, Gorelik O, Arepalli S, Schwegler-Berry D, Hubbs AF, Antonini J, Evans DE, Ku BK, Ramsey D, Maynard A, Kagan VE, Castranova V and Baron P, (2005): Unusual inflammatory and fibrogenic pulmonary responses to single-walled carbon nanotubes in mice. Am J Physiol Lung Cell Mol Physiol, 289, L698-708. Sturm R and Hofmann W, (2003): Mechanistic interpretation of the slow bronchial clearance phase. Radiat Prot Dosimetry, 105, 101-104. Sturm R and Hofmann W, (2006): A multi-compartment model for slow bronchial clearance of insoluble particles— extension of the ICRP human respiratory tract models. Radiat Prot Dosimetry, 118, 384-394. Takagi A, Hirose A, Nishimura T, Fukumori N, Ogata A, Ohashi N, Kitajima S and Kanno J, (2008): Induction of mesothelioma in p53+/- mouse by intraperitoneal application of multi-wall carbon nanotube. Journal of Toxicological Sciences, 33, 105-116. Tcheremenskaia O, Benigni R, Nikolova I, Jeliazkova N, Escher SE, Batke M, Baier T, Poroikov V, Lagunin A, Rautenberg M and Hardy B, (2012): OpenTox predictive toxicology framework: toxicological ontology and semantic media wiki-based OpenToxipedia. J Biomed Semantics, 3 Suppl 1, S7. Tran CL, Hankin SM, Ross B, Aitken RJ, Jones AD, Donaldson K, Stone V and Tantra R (IOM - Institute of Occupational Medicine,), (2008): An outline scoping study to determine whether high aspect ratio nanoparticles (HARN) should raise the same concerns as do asbestos fibres. CB0406; August 13, 2008, 59 p. Van Doren E, De Temmerman P-J, Francisco M and Mast J, (2011): Determination of the volume-specific surface area by using transmission electron tomography for characterization and definition of nanomaterials. J Nanobiotechnology, 9, 17. Wittmaack K, (2007): In search of the most relevant parameter for quantifying lung inflammatory response to nanoparticle exposure: Particle number, surface area, or what? Environmental Health Perspectives, 115, 187194. Zhang H, Ji Z, Xia T, Meng H, Low-Kam C, Liu R, Pokhrel S, Lin S, Wang X, Liao YP, Wang M, Li L, Rallo R, Damoiseaux R, Telesca D, Madler L, Cohen Y, Zink JI and Nel AE, (2012): Use of metal oxide nanoparticle band gap to develop a predictive paradigm for oxidative stress and acute pulmonary inflammation. Acs Nano, 6, 4349-4368. Ziemann C, Rittinghausen S, Ernst H, Kolling A, Mangelsdorf I and Creutzenberg O, (2011): Genotoxic mode of action of fine and ultrafine dusts in lungs. Federal Institute for Occupational Safety and Health, Dortmund, Berlin, Dresden, pp. 71 7 Appendix 7.1 Publications in PaFtox database (October 2012) Author Year Publication Pages Bai R et al. 2010 Toxicology Letters 288---300 Belinsky SA, et al. 1995 Report HEI-RR-68 Part III 1-25 Bermudez E, et al. 2002 Toxicological Sciences 86-97 Bermudez E, et al. 2004 Toxicological Sciences 347-357 Borm PJA, et al. 2005 Toxicol Appl Pharmacol 157-167 Borm PJA, et al. 2005 Toxicology Applied Pharmacology 157-167 Carter JM, et al. 2006 J Occup Environ Med 1265-1278 Chen H-W, et al. 2006 FASEB Journal 2393-2395 Chen H-W, et al. 2006 FASEB Journal E1732-E1741 Chen Y, et al. 2004 Toxicology Industrial Health 21-27 Chen Z, et al. 2008 Environ Sci Technol 8985-8992, Support Info Cho W-S, et al. 2007 Toxicology Letters 24-33 Choi M, et al. 2008 Toxicology Letters 97-101 Creutzenberg O, et al. 1990 J Aerosol Science S455-S458 Dasenbrock C, et al. 1996 Toxicology Letters 15-21 Driscoll KE, et al. 1996 Toxicology Applied Pharmacology 372 - 380 Driscoll KE, et al. 1997 Carcinogenesis 423-430 Elder A, et al. 2005 Toxicological Sciences 614-629 Endoh S, Uchida K 2008 Int Symp risk assessment manufactured nanoparticles 21-30 Ernst H, et al. 2002 Exp Toxic Pathol 109-126 Ferin J, et al. 1991 J Aerosol Medicine 57-68 Ferin J, et al. 1992 Am J Resp Cell Mol Biol 535-542 Gallagher J, et al. 2003 Toxicology Applied Pharmacology 224-231 Gillespie PA, et al. 2010 Nanotoxicology 106-119 Heinrich U, and Fuhst, R 1992 "Abschlussbericht: Untersuchungen zur tumorinduzierenden Wirkung von inhalierten Dieselmotorabgasen und anderen Teststäuben in der Mäuselunge. in German" Heinrich U, and Fuhst, R 1992 "Abschlussbericht: Vergleichende Untersuchungen zur Frage der tumorinduzierenden Wirkung von Diese1motorabgasen in der Rattenlunge. in German" Heinrich U, et al. 1995 Inhalation Toxicology 533-556 Hext PM, et al. 2002 Ann Occup Hyg 191-196 Hyun J-S, et al. 2008 Toxicology Letters 24-28 Inoue K, et al. 2005 Respiratory Research 1-12 Inoue K, et al. 2010 Free Rad Biol Med 924-934 72 Author Year Publication Pages Ji JH, et al. 2007 Inhalation Toxicology 857-871 Johnston CJ, et al. 2000 Toxicological Sciences 405-413 Kaewamatawong T, et al. 2006 Toxicologic Pathology 958-965 Kim JS, et al. 2011 Safe Health Work 34-38 Kobayashi N, et al. 2009 Toxicology 110-118 Kobayashi N, et al. 2010 Toxicology 143-153 Koike E, et al. 2008 Int J Immunopathol Pharmacol 35-42 Kolling A, et al. 2011 Inhalation Toxicology 544-554 Lee KP, & Kelly, DP 1992 Fund Appl Toxicol 399-410 Lee KP, & Kelly, DP 1993 Toxicology 205-222 Lee KP, et al. 1985 Exp Mol Pathol 331-343 Lee KP, et al. 1985 Toxicol Appl Pharmacol 179-192 Lee KP, et al. 1986 Environ Research 144-167 Li J et al. 2007 Environ Toxicol 415-421 Ma JY, et al. 2011 Nanotoxicology 312-325 Ma-Hock L, et al. 2009 Toxicological Sciences 468-481 Mauderly JL, et al. 1995 Report HEI-RR-68 Part I 1-106 Morimoto Y, et al. 2010 Nanotoxicology 161-176 Muhle H, et al. 1994 In: Mohr U, et al. (Ed.) Toxic and carcinogenic effects of solid particles in the respiratory tract 29-41 Nikula KJ, et al. 1995 Fund Appl Toxicol 80-94 Nishi K, et al. 2009 Inhalation Toxicology 1030-1039 Niwa Y, et al. 2008 Circulation Journal 144-149 Oberdörster G, et al. 1990 J Aerosol Science 384-387 Oberdörster G, et al. 1994 Ann Occup Hyg 295-302 Oberdörster G, et al. 1994 Environ Health Perspect 173-179 Ogami A, et al. 2009 Inhalation Toxicology 812-818 Oszlánczi G, et al. 2010 Ecotox Environ Safety 2004-2009 Park EJ, et al. 2010 Toxicology 65-71 Pauluhn J 2009 Toxicological Sciences 152-167 Pauluhn J 2009 Toxicology 140-148 Pauluhn J 2010 Regulatory Toxicology Pharmacology 78-89 Pauluhn J 2010 Toxicological Sciences 226-242 Pott F, and Roller M 2005 Eur J Oncol 249-281 Pott F, and Roller M 2005 Eur J Oncol 3606 Randerath K, et al. 1995 Report HEI-RR-68 Part II, NTIS PB96-138623 Rehn B, et al. 2003 Toxicology Applied Pharmacology 73 84-95 Author Year Publication Pages Reuzel PGJ, et al. 1991 Food Chem Toxicol 341-354 Roller M 2008 Forschungsprojekt F 2083 Roller M, and Pott F 2006 Ann NY Acad Sci 266-280 Rossi EM, et al. 2010 Particle Fibre Toxicology 1-14 Sager TM 2008 Dissertation 1-290 Sager TM and Castranova V 2009 Particle Fibre Toxicology 1-12 Sager TM, et al. 2008 Particle Fibre Toxicology 1-15 Santhanam P, et al. 2008 Int J Nanotechnol 30-54 Seiler F, et al. 2001 Arch Toxicol 716-719 Shvedova AA, et al. 2005 Am J Physiol Lung Cell Mol Physiol L698---L708 Shvedova AA, et al. 2008 Am J Physiol Lung Cell Mol Physiol L552-L565 Sung J, et al. 2008 Inhalation Toxicology 567-574 Sung J, et al. 2009 Toxicological Sciences 452-461 Warheit DB, et al. 1991 Fund Appl Toxicol 590-601 Warheit DB, et al. 1995 Scand J Environ Health 19-21 Warheit DB, et al. 2004 Toxicological Sciences 117-125 Sung J, et al. 2008 Inhalation Toxicology 567-574 Warheit DB, et al. 2007 Toxicological Sciences 270-280 Warheit DB, et al. 2007 Toxicology 90-104 Zhang QW, et al. 1998 J Occup Health 171-176 Zhang QW, et al. 1998 J Toxicol Environ Health A 423-438 74 7.2 Data analysis by databases In this project, a database has been used for the analysis of repeated dose toxicity studies with nano-objects. It may be questioned, why the PaFtox Database has been used although several databases on nanomaterials are available already. Therefore in the following the already existing databases are described briefly and then the special features of the PaFtox Database are discussed. 7.2.1 NanoSafety Cluster The EU projects addressing all aspects of nanosafety including toxicology, ecotoxicology, exposure assessment, mechanisms of interaction, risk assessment and standardisation can be found on the corresponding website - NanoSafety Cluster 1. This initiative helps to maximise the synergies between the existing FP6 and FP7 projects. Participation in the NanoSafety cluster is voluntary for projects that commenced prior to April 2009, and is compulsory for nano-EHS projects that have started since April 2009. The goal is to provide industrial stakeholders and the general public with appropriate knowledge on the risks of nanomaterials for human health and the environment. 7.2.2 DaNa DaNa 2 is an umbrella project aiming at collecting and evaluating scientific results in an interdisciplinary approach with scientists from different research areas, such as human and environmental toxicology, biology, physics, chemistry, and sociology. Research findings from the field of human and environmental nanotoxicology which fulfil the criteria 3 are summarised and presented together with material properties and possible applications for interested laymen and stakeholders. The DaNa project team wishes to provide for more transparency and to process results of research on nanomaterials and their influence on humans and the environment in an understandable way. 7.2.3 Database on Research into the Safety of Manufactured Nanomaterials The OECD Working Party on Manufactured Nanomaterials (WPMN) developed the “Database on Research into the Safety of Manufactured Nanomaterials 4”, which is an inventory of safety research information on manufactured (engineered) nanomaterials. It is designed as a global resource (Database), which details research projects, helps to identify research needs, provides opportunities to identify the similar fields, and may lead to create new collaboration and networks. The following information is stored in distinct fields: • Project Title; Start date; End date; • Project Status (Current; planned; or completed); 1 http://www.nanosafetycluster.eu/ 2 http://nanopartikel.info/cms/lang/en/Projekte/dana;jsessionid=E81E1110A9100B389E0F010A2294E942 3 http://nanopartikel.info/cms/lang/en/Wissensbasis/kriterienkatalog 4 http://www.oecd.org/env/ehs/nanosafety/oecddatabaseonresearchintothesafetyofmanufacturednanomaterials.htm 75 • Country or organisation; • Funding information (where available, on approximate total funding; approximate annual funding; and funding source); • Project Summary; Project URL; Related web links; • Investigator information: name, research affiliation, contact details; • Categorisation by material name, relevance to the safety, research themes, test methods; • Overall outcomes and outputs. NHECD NHECD 5 is a free access, robust and sustainable web based information system including a knowledge repository on the impact of nanoparticles on health, safety and the environment. It includes a robust content management system (CMS) as its backbone, to hold unstructured data (e.g., scientific papers and other relevant publications). It also includes a mechanism for automatically updating its knowledge repository, thus enabling the creation of a large and developing collection of published data on environmental and health effects following exposure to nanoparticles. NHECD is based on text mining methods and algorithms that make possible the transition from metadata (such as author names, journals, keywords) to more sophisticated metadata and to additional information extracted from the scientific papers themselves. These methods and algorithms were implemented to specifically extract pertinent information from large amount of documents. NHECD created a systematic domain model of concepts and terms (i.e., a wide set of domain taxonomies) to support the categorization of published papers and the information extraction process within this project. Up to now around 10,000 open source articles have been gathered. NHECD is intended for - academics, industry, public institutions and the general public. Besides the databases on research projects or databases / information platforms containing different level of toxicological information, databases on products containing nanomaterial are available. The Danish Consumer Council and the Danish Ecological Council have created a nano database 6 that will help consumers to identify more than 1,200 products that may contain nanomaterials. A German database 7 was developed by BUND containing more than 1000 products available in Germany. 5 http://nhecd.jrc.ec.europa.eu/ 6 http://nano.taenk.dk/ (Posted on December 25, 2012) 7 http://www.bund.net/themen_und_projekte/nanotechnologie/nanoproduktdatenbank/ 76 7.2.4 Special features of the PaFtox database As can be seen from the description of the databases above, they are rather general, either related to collections of research projects or publications. The PaFTox Database in contrast contains all details for repeated dose toxicity studies (up to livelong exposure) in a very structured way. There are several advantages in using such a database for toxicological analyses: the structure of the database forces the user to collect data systematically. Deficiencies in study description and design become obvious and can be accounted for in the analyses. Different queries allow systematic data mining of large datasets. As a result effect patterns, LOELs, dose response can be compared for different types of (nano-)objects, for different studies and sensitive parameters can be identified. Further, the results of the database queries can be further analysed by statistics and these results can be easily visualized (e.g. Fig 7, Fig 8, Fig 9), which improves understanding compared with lengthy descriptions in the text or huge tables. Based on our experiences with RepDose we made several improvements: We included the scope of examination. This was especially important for studies with particles and fibres, because currently available studies with (nano-)objects are mostly not according to guidelines and differ widely in scope investigated; this relates to organs as well as to endpoints investigated. With the scope of examination, it is possible to query, how often effects have been examined and how often they were positive. The scope of examination has already been taken into consideration in our analyses in Tab. 24 and Tab. 25. As the scope of examination is differing from studies according to OECD guidelines the Klimisch code is not useful for this database and the criteria used in the database RepDose were adapted for the PaFtox database (see 2.2.3). In addition for each effect the effect levels or incidences were entered into the database, including significance. This rendered data entry very time consuming (see example data sheets in the Appendix), but allowed queries on effect levels e.g. for neutrophils/PMN levels (Fig 7), total protein (Fig 8), LDH (Fig 9), lung burden (Tab. 29), lung weight (Tab. 30) and allows future analyses of dose response with the benchmark dose approach. 7.3 Study reports from PaFtox database (October 2012) 77 Carbon Black molecular weight 12 g/mol Study Data study pk 4108 Specification by Producer / Supplier object Primary particle synonym Printex 90TM size diameter in nm mean 14 inner diameter in nm outer diameter in nm length in nm SD min max medium determ. method distribution type no data surface property cristal structure shape specific surface in m²/g solubility in mg/l specific volume in m³/g at in °C particle density in g/cm³ additional High-purity furnace carbon black reference Heinrich & Fuhst (1992) producer Degussa, Frankfurt, Germany Specification by Authors object Primary particle size diameter in nm inner diameter in nm outer diameter in nm length in nm mean SD min max medium distribution type determ. method no data surface property cristal structure shape specific surface in m²/g solubility in mg/l 227 particle density in g/cm³ additional 1.85 reference specific volume in m³/g at in °C coarse particles removed by a cyclone with 50% cut-off diameter ca. 1 µm for a flow rate of 100 m3/h; spec. surface area by BETg, 0,04% extractable organic matter Heinrich & Fuhst (1992) Hydrodynamic diameter median 640 nm distibution type GSD 2.6 bulk density min 28. Sep. 12 nm isoelectric point no data mg/ml in Page 1 from 8 Carbon Black max nm medium 10-stage Berner impactor determ. method sample treatment zeta potential mV in peak SPR nm in conductivity µS/cm in solubility mg/L in at ºC applic. medium dispersant additional Study Design species rat strain Wistar (Crl:(WI) BR) sex female animal/group 100 route whole-body age of animal 7w exposure in h/d 18 exposure in d/w 5 study dur. in d 730 postexp. dur. in d 182 purity no. of instillation frequency whole-body in 6 or 12 m3 horizontal flow type chambers; nominal concentration of 11,6 mg/m3 as time-weighted average of 7,4 mg/m³ for 4 months + 12,2 mg/m³ for 20 months, cumulative exposure 102,2 g/m³ x h exposure (additional) dose / concentration 0 11.63 1 dose study reliability Unit B confidential mg/m³ interim sacrifices at d 91, 182, 365, 547, 670, 730 and 910 d number of animals (control/exposed): carcinogenicity: 220/100, additionally histology (serial sacrifice): 80/80 DNA-adducts (d 14, 60, 730): 14/14 lung burden: 66/66 lung clearance: 28/28, measured as clearance of radiolabeled Fe2O3 tracer particles (MMAD 0,35 µm) BALF only after 730 d CB burden after digestion of tissue measured by turbidity of particles suspended in 0,01 N NaOH additional Reference author Heinrich U, and Fuhst, R source volume 07VAG06 year institution Fraunhofer ITEM author Muhle H, et al. volume Abschlussbericht: Vergleichend Untersuchungen zur Frage der tumorinduzierenden Wirkung von Dieselmotorabgasen in der Rattenlunge. Final Report in German 1992 1-56 plus Append page year In: Mohr U, et al. (Ed.) Toxic and carcinogenic effects of solid particles in the respiratory tract 1994 29-41 page source institution Fraunhofer ITEM author Creutzenberg O, et al. source J Aerosol Science volume 21, Suppl 1 year 1990 institution Fraunhofer ITEM author Heinrich U, et al. source Inhalation Toxicology volume 7 year 1995 institution Fraunhofer ITEM 28. Sep. 12 page S455-S458 page 533-556 Page 2 from 8 Carbon Black Scope organ animal/group necropsy organ weight histopathology guideline body weight 100 lung 100 additional total lung burden (no lavage); histopatho: H&E stain; alveolar lung clearance of radiolabeled tracer particles; PAH-DNA adducts by 32P-postlabeling (total lung) 100 additional nasal and paranasal cavities 100 nose larynx trachea 100 BALF alveolar macrophages granulocytes lymphocytes lactate dehydrogenase (LDH) hydroxyproline total protein β-glucuronidase additional both lobes, 5x4ml Effect data BALF effect sex lactate dehydrogenase (LDH) female % sex dose 8.3736 level score significance % female 730 100 n.g. 100 female 730 1700 <0.01 1700 sign. increase of LDH activity (% of control) after 24 mo exposure (Fig.25), effect lower than after 18 exposure + 6 mo p-e (see additional data in Study number 3999) sex β-glucuronidase female dose sex LOEL study unit 11.63 timepoint LOEL mg/kg transient 8.3736 level score significance % 0 female 730 100 n.g. 100 11.63 female 730 7200 <0.01 7200 additional sign. increase of β-glucuronidase activity (% of control) after 24 mo exposure (Fig. 26), effect lower after 18 mo exposure + 6 mo p-e (see additional data in Study number 3999) effect sex total protein female dose 0 11.63 additional 28. Sep. 12 timepoint transient 0 effect % 11.63 LOEL mg/kg 11.63 additional % LOEL study unit sex LOEL study unit 11.63 timepoint LOEL mg/kg transient 8.3736 significance % female 730 level 100 score n.g. 100 female 730 1100 <0.01 1100 sign. increase of totasl protein (% of control) after 24 mo exposure (Fig. 27), effect comparable to 1 exposure + 6 mo p-e (see additional data in Study number 3999) Page 3 from 8 Carbon Black effect sex hydroxyproline % female dose sex timepoint transient 8.3736 level score significance % 0 female 730 100 n.g. 100 female 730 310 <0.01 310 sign. increase of free hydroxyproline (% of control) after 24 mo exposure (Fig.28), effect higher than after 18 mo exposure + 6 mo p-e (see additional data in Study number 3999) effect sex alveolar macrophages total female dose sex LOEL study unit 11.63 LOEL mg/kg transient 2.64318 timepoint level 0 female 670 0.29 n.g. 100 score significance % 0 female 730 0.95 n.g. 100 11.63 female 670 2.29 n.g. 789.65 11.63 female 730 3.05 n.g. 321.05 additional increase of number of AM after 22 and 24 mo exposure, effects comparable to 18 mo exposure + 4 mo p-e (see additional data in Study number 3999) effect sex PMN total female x10E6/ml 11.63 LOEL mg/kg 11.63 additional x10E6/ml LOEL study unit dose sex LOEL study unit 11.63 LOEL mg/kg transient 8.3736 timepoint level 0 n.g. 100 100 0 female 670 score significance 0 female 730 0 n.g. 11.63 female 670 2.19 n.g. 11.63 female 730 3.14 n.g. additional % increase of number of PMNs after 22 and 24 mo exposure, effects higher than after 18 mo exposur or 6 mo p-e (see additional data in Study number 3999) effect sex lymphocytes total female LOEL study unit LOEL mg/kg transient x10E6/ml additional no effect: number of lymphocytes (Fig.29) body weight effect sex weight decreased gram female dose sex LOEL study unit 11.63 timepoint LOEL mg/kg transient 8.3736 level score significance % 0 female 730 417 n.g. 100 0 female 910 390 n.g. 100 11.63 female 730 325 <0.05 77.93 11.63 female 910 323 <0.05 82.82 additional sign. decrease of bw from ca. d 400 of exposure throughout d 910 clinical symptoms 28. Sep. 12 Page 4 from 8 Carbon Black effect sex mortality % female dose sex LOEL study unit 11.63 timepoint LOEL mg/kg transient 8.3736 level score significance % 0 female 730 42 n.g. 100 0 female 912 85 n.g. 100 11.63 female 730 56 <0.05 133.33 11.63 female 912 92 <0.05 108.23 additional mean lifetime sign. decreased; increase of mortality (% of rats) at termination of exposure and after p-e lung effect sex weight gram female dose sex timepoint transient 8.3736 level score significance % female 91 1.28 n.g. 100 0 female 182 1.55 n.g. 100 0 female 365 1.33 n.g. 100 0 female 547 1.54 n.g. 100 0 female 670 1.34 n.g. 100 0 female 730 1.44 n.g. 100 11.63 female 91 2.24 <0.001 175 11.63 female 182 3.64 <0.001 234.83 11.63 female 365 6.46 <0.001 485.71 11.63 female 547 7.64 <0.001 496.1 11.63 female 670 6.93 <0.001 517.16 11.63 female 730 6.83 <0.001 474.3 sign. increases of lung wet wt. with maximum after 18 mo exposure, slightly reversible within 24 mo exposure (no data for p-e) effect sex burden female dose sex LOEL study unit 11.63 timepoint LOEL mg/kg transient 8.3736 significance % 0 female 91 0 n.g. 100 0 female 182 0 n.g. 100 0 female 365 0 n.g. 100 0 female 547 0 n.g. 100 0 female 670 0 n.g. 100 level score 100 0 female 730 0 n.g. 11.63 female 91 7.56 n.g. 11.63 female 182 19.9 n.g. 11.63 female 365 38 n.g. 11.63 female 547 50.2 n.g. 11.63 female 670 45.2 n.g. 11.63 female 730 43.9 n.g. additional 28. Sep. 12 11.63 LOEL mg/kg 0 additional mg/total lung LOEL study unit increase of total lung burden (no lavage) up to 18 mo exposure, slight increase within 24 mo exposu (no data for p-e), half-time for clearance of TiO2 burden 550 d; further data for 18 mo exposure + pStudy Number 3999 Page 5 from 8 Carbon Black effect sex alveolar clearance days female dose sex timepoint transient 8.3736 level score significance % female 91 61 n.g. 100 0 female 365 72 n.g. 100 0 female 547 96 n.g. 100 11.63 female 91 244 <0.01 400 11.63 female 365 368 <0.01 511.11 11.63 female 547 363 <0.01 378.12 sign. increase of clearance time for radiolabeled tracer particles (Fe-59-oxid) from 3 mo exposure up further increase up to 12-18 mo exposure; further data for 18 mo exposure + p-e in Study Number 3 effect sex hyperplasia bronchiolo-alveolar female % sex dose LOEL study unit 11.63 timepoint LOEL mg/kg transient 8.3736 level score significance % n.g. 100 n.g. 100 0 female 182 0 female 910 0 11.63 female 182 100 minimal <0.01 female 910 96 severe <0.01 11.63 additional sex fibrosis female dose 0 sign. increase of bronchiolo-alveolar hyperplasia in 20/20 rats at 6 mo exposure, and 96/100 rats aft 24 mo expsoure + 6 mo p-e effect sex LOEL study unit 11.63 timepoint LOEL mg/kg transient 8.3736 level score 0 significance % n.g. 100 0 female 182 0 female 365 10 minimal n.g. 0 female 547 5.6 minimal n.g. 0 female 730 0 0 female 910 4.1 mild n.g. n.g. 0 female 910 4.1 minimal n.g. 11.63 female 182 100 minimal n.g. 11.63 female 365 52.6 mild n.g. 11.63 female 365 5.3 medium n.g. 11.63 female 547 66.7 medium n.g. 11.63 female 547 33.3 mild n.g. 11.63 female 730 11.1 minimal n.g. 11.63 female 730 11.1 severe n.g. 11.63 female 730 77.8 medium n.g. 11.63 female 910 30 medium n.g. 11.63 female 910 2 minimal n.g. 11.63 female 910 57 mild n.g. additional effect sex bronchiolo-alveolar adenoma female sex dose LOEL study unit 11.63 timepoint LOEL mg/kg transient 8.3736 level score significance % 100 0 female 910 0 n.g. 11.63 female 910 13 <0.05 additional 100 time-dependent increase of incidences and severity of interstitial fibrosis at >= 6 mo exposure; effec reversible in severity at 24 mo exposure + 6 mo p-e % 28. Sep. 12 11.63 LOEL mg/kg 0 additional % LOEL study unit increased incidence of bronchiolo-alveolar adenoma 13/100 vs. 0/217 in controls Page 6 from 8 Carbon Black effect sex bronchiolo-alveolar adenocarcinoma female % dose significance % 0.46 n.g. 100 11.63 female 910 13 <0.05 female dose sex score LOEL study unit 11.63 timepoint LOEL mg/kg 8.3736 level score significance % 100 0 female 910 0 n.g. female 910 4 n.g. increased incidence of squamous cell carcinoma 4/100 vs. 0/217 in controls sex benign cystic keratinizing squamous-cell tumor female dose 2826.1 transient 11.63 effect 11.63 transient 8.3736 significance % 910 0 n.g. 100 11.63 female 910 20 n.g. female dose level score increased incidence of benign cystic keratinizing squamous-cell tumour 20/100 vs. 0/217 in controls sex clearance timepoint LOEL mg/kg female effect sex LOEL study unit 0 additional % level increased incidence of bronchiolo-alveolar adenocarcinoma 13/100 vs. 1/217 in controls sex additional % 8.3736 910 squamous cell carcinoma timepoint transient female effect % 11.63 LOEL mg/kg 0 additional sex LOEL study unit sex LOEL study unit 11.63 timepoint LOEL mg/kg transient 8.3736 level score significance % 100 0 female 730 0 n.g. 11.63 female 730 100 n.g. additional particle-laden macrophages in lungs of all CB-exposed rats effect sex PAH-derived DNA adducts female LOEL study unit LOEL mg/kg transient n.a. additional no effect: no increased level of PAH-derived DNA adducts (32P postlabeling) lymph node effect sex weight female % dose 0 11.63 additional 28. Sep. 12 sex LOEL study unit 11.63 timepoint LOEL mg/kg transient 8.3736 significance % female 730 level 100 score n.g. 100 female 730 800 n.g. 800 8-fold increase at termination of exposure Page 7 from 8 Carbon Black effect sex burden mg/organ female dose sex LOEL study unit 11.63 timepoint LOEL mg/kg transient 8.3736 level score significance % 100 0 female 670 0 n.g. 11.63 female 670 6.72 n.g. additional increase of retained particle mass in LALN nose effect sex squamous cell metaplasia female % dose significance % 0 n.g. 100 0 female 547 0 n.g. 100 0 female 730 0 n.g. 100 0 female 910 7.7 n.g. 100 11.63 female 365 27.8 n.g. 11.63 female 547 68.8 n.g. 11.63 female 730 55.6 n.g. 11.63 female 910 61 n.g. degeneration female sex LOEL study unit 11.63 timepoint score 792.2 LOEL mg/kg transient 8.3736 significance % 0 n.g. 100 365 9.5 n.g. 100 547 33.3 n.g. 100 female 730 0 n.g. 100 0 female 910 34.4 n.g. 100 11.63 female 182 30 n.g. 11.63 female 365 100 n.g. 1052.6 11.63 female 547 100 n.g. 300.3 11.63 female 730 88.9 n.g. female 910 75 n.g. 0 female 182 0 female 0 female 0 11.63 additional effect female dose level score 218.02 sign. increase of incidences of degenerative changes in mucus membranes of nasal cavity and paranasal sinuses after >= 6 mo exposure, effect slightly reversible after 24 mo exposure + 6 mo p-e sex inflammation sex LOEL study unit 11.63 timepoint LOEL mg/kg transient 8.3736 level score significance % 0 female 365 4.8 n.g. 100 0 female 547 0 n.g. 100 0 female 730 10 n.g. 100 0 female 910 5.9 n.g. 100 11.63 female 365 22.2 n.g. 462.5 11.63 female 547 50 n.g. 11.63 female 730 55.6 n.g. 556 11.63 female 910 40 n.g. 677.96 additional 28. Sep. 12 level increased incidences of squamous cell metaplasia in epithelia of nasal cavity and paranasal sinuses after >= 12 mo exposure, effect not reversible after 24 mo exposure + 6 mo p-e sex % 8.3736 365 dose timepoint transient female effect % 11.63 LOEL mg/kg 0 additional sex LOEL study unit increased incidences of inflammatory changes in mucus membranes of nasal cavity and paranasal sinuses after >= 12 mo exposure, effect slightly reversible after 24 mo exposure + 6 mo p-e Page 8 from 8 Carbon Black molecular weight 12 g/mol Study Data study pk 4131 Specification by Producer / Supplier object Primary particle synonym Elftex-12 size diameter in nm mean 37 inner diameter in nm outer diameter in nm length in nm SD min max medium determ. method distribution type no data surface property cristal structure specific surface in m²/g solubility in mg/l shape 43 specific volume in m³/g at in °C particle density in g/cm³ additional reference Ash M, Ash I (Ed.) Handbook of Fillers, Extenders, and Diluents, 2007, p. producer Cabot, Boston, MA Specification by Authors object Primary particle size diameter in nm inner diameter in nm outer diameter in nm length in nm mean SD min max medium distribution type determ. method no data surface property cristal structure shape specific surface in m²/g solubility in mg/l specific volume in m³/g at in °C particle density in g/cm³ additional reference Hydrodynamic diameter median nm GSD min 28. Sep. 12 distibution type bulk density nm isoelectric point bidispers mg/ml in Page 1 from 26 Carbon Black max nm zeta potential mV in peak SPR nm in determ. method conductivity µS/cm in sample treatment solubility mg/L medium in at ºC applic. medium dispersant bimodal particle size distribution: small-size mode (parallel-floe diffusion battery): mass median diffusion diameter 100 nm, GSD 2,16, 33% of particle mass; large-size mode (cascade impactor): MMAD 1950 nm, GSD 1,84, 67% of particle mass additional Study Design species rat strain F344/N sex male & female animal/group 114-118 route whole-body age of animal 7.5 w exposure in h/d 16 exposure in d/w 5 study dur. in d 730 postexp. dur. in d 42 purity no. of instillation exposure (additional) dose / concentration Unit frequency whole-body, airflow 425 l/min; nominal conc. 2,5 and 6,5 mg/m3, analytical conc. 2,46+-0,03; 6,55 +-0,06 mg/m3 0 2.46 6.55 1 dose study reliability B confidential mg/m³ additional Serial sacrifices (N=3 per sex/group) at d 91, 182, 365, 547, 700, terminal sacrifice about d 772; histopatho all tp, BALF at d 365, 547 & 700; nonneoplastic findings (sacrifice, euthanasia, death): 547 d (<= 18 mo), N=32-44 per sex/group; 780 d (18 mo - end of life), N=71-86 per sex/group; squamous cysts (incl. died animals): 730 d (18 24 mo), N=54-77 per sex/group; 780 d (24 mo - end of life), N=0-36 neoplastic findings (except sacrificed betw. mo 3 - 12): 780 d (18 mo - end of life), N=105-109 per sex/group genotoxicity: PAH-DNA adducts adducts in left lung (all tp, HD, N=3/sex); PAH-DNA adducts in alveolar type II cells (d 91, HD, N=5/sex); mutations of K-ras or p53 in lung tumors (N=14 adenocarcinomas, N=3 squamous cell carcinomas, N=1 adenosquamous carcinomas); SCE and micronuclei in circulating lymphocytes ex vivo (only at d 91, N=3/sex); Hb-adducts in erythrocytes (only at d 91, N=3/sex) lung burden (all tp): optical density at 620 nm after homogenization of left lung in saline; burden in LALN (all tp): digestion of tissue with acid, washed residue of inorganic carbon converted to carbon dioxide and measured by IR spectrometry Clearance of radiolabeled carbon black [7Be]CB after single exposures on d 91 & 547 (N=8/sex): whole-body counting at d 0, 4, 7, 13, 28, 35, 42, 56, 73, 84, 98, 112 & 126 d after exposure Translocation and sequestration of inhaled fluorescent latex microspheres applied on d 81 & 547: histopatho and morphometry on d 1, 4, 28 & 90 (N=2/sex) to identify microspheres in single alveolar macrophages, aggregated macrophages & other locations Reference author Mauderly JL, et al. volume source Report HEI-RR-68 Part I year 1995 institution Lovelace Biomed. & Environm. Research Institute, Albuquerque author Belinsky SA, et al. volume institution 28. Sep. 12 page source Report HEI-RR-68 Part III year 1995 page 1-106 1-25 Lovelace Biomed. & Environm. Research Institute, Albuquerque Page 2 from 26 Carbon Black author Randerath K, et al. volume source Report HEI-RR-68 Part II, NTIS PB96-138623 year 1995 page institution Lovelace Biomed. & Environm. Research Institute, Albuquerque author volume Nikula KJ, et al. 25 institution Inhalation Toxicology Research Institute source year Fund Appl Toxicol 1995 page 80-94 Scope organ animal/group necropsy organ weight histopathology guideline body weight 115 lung 115 additional mortality histopatho (right lobe): H&E stain; lung burden (left lobe after lavage, N=3); PAHDNA adducts by 32P-postlabeling in total lung; PAH-DNA adducts in alveolar type II cells; immunohistochemistry of p53 protein in lung tumors; mutations of K-ras or p53 in lung tumors by PCR 115 clinical symptoms 115 lymph node 3 additional particle burden 3 additional left lobe, 2x2 ml for f, 2x2,5 ml for m 3 BALF haematology additional genotoxicity: SCE and micronuclei in primary cultures of circulating lymphocytes ex vivo; Hb-adducts Effect data BALF effect sex total protein male & female LOEL study unit LOEL mg/kg transient mg/ml additional no effect (Mauderly: Tab.E1-E3) effect sex glutathione reductase male & female units/liter (U/l) dose 2.46 timepoint LOEL mg/kg transient 1.5744 level score significance % 0 male & f 365 34 n.g. 100 0 male & f 547 20 n.g. 100 0 male & f 700 19 n.g. 100 2.46 male & f 365 33 none 97.05 2.46 male & f 547 32 none 160 2.46 male & f 700 40 <0.05 210.52 6.55 male & f 365 48 none 141.17 6.55 male & f 547 52 none 260 6.55 male & f 700 51 none 268.42 additional 28. Sep. 12 sex LOEL study unit sign. increase at d 700 at LD only, increase at HD not sign. due to high SD (Mauderly: Tab.E1-E3) Page 3 from 26 Carbon Black effect sex β-glucuronidase male & female units/liter (U/l) dose sex timepoint transient 1.5744 level score significance % male & f 365 0.26 n.g. 100 0 male & f 547 0.25 n.g. 100 0 male & f 700 0.09 n.g. 100 2.46 male & f 365 4.13 <0.05 1588.5 2.46 male & f 547 5.25 <0.05 2100 2.46 male & f 700 4.07 <0.05 4522.2 6.55 male & f 365 11.94 <0.05 4592.3 6.55 male & f 547 11.13 <0.05 4452 9.63 none 10700 6.55 male & f sex lactate dehydrogenase (LDH) male & female units/liter (U/l) sex dose 700 sign. increase at LD & HD, increase at HD at d 700 not sign. due to high SD, effects not reversible (Mauderly: Tab.E1-E3) effect LOEL study unit 2.46 timepoint LOEL mg/kg transient 1.5744 level score significance % 0 male & f 365 112 n.g. 100 0 male & f 547 86 n.g. 100 0 male & f 700 76 n.g. 100 2.46 male & f 365 368 <0.05 328.57 2.46 male & f 547 280 <0.05 325.58 2.46 male & f 700 335 <0.05 440.78 6.55 male & f 365 653 <0.05 583.03 6.55 male & f 547 553 <0.05 643.02 6.55 male & f 700 535 <0.05 703.94 additional sign. dose-related increase at all tp, not reversible (Mauderly: Tab.E1-E3) effect sex neutrophils total male & female dose sex LOEL study unit 2.46 timepoint LOEL mg/kg transient 1.5744 level score significance % 0 male & f 365 14 n.g. 100 0 male & f 547 9 n.g. 100 0 male & f 700 4 n.g. 100 2.46 male & f 365 864 <0.05 6171.4 2.46 male & f 547 865 none 9611.1 2.46 male & f 700 854 none 21350 6.55 male & f 365 1417 <0.05 10121 6.55 male & f 547 1976 <0.05 21956 6.55 male & f 700 943 <0.05 23575 additional 28. Sep. 12 2.46 LOEL mg/kg 0 additional x10E3/ml LOEL study unit sign. increase at LD at d 365, at HD at all tp, other increases at LD not sign. due to high SD, max. e at HD at d 547 (Mauderly: Tab.E1-E3) Page 4 from 26 Carbon Black effect sex alveolar macrophages total male & female x10E3/ml dose 1.5744 significance % 365 850 n.g. 100 0 male & f 547 575 n.g. 100 0 male & f 700 660 n.g. 100 2.46 male & f 365 1889 <0.05 222.23 2.46 male & f 547 1259 <0.05 218.95 2.46 male & f 700 726 none 110 6.55 male & f 365 1192 none 6.55 male & f 547 1877 none 326.43 6.55 male & f 700 855 none 129.54 level score sign. increase of alveolar macrophages at LD at 365 & 547 d, increases at HD not sign. due to high increases not dose-related, all doses reversible within d 700 (Mauderly: Tab.E1-E3) sex leukocytes male & female dose timepoint transient male & f effect x10E3/ml 2.46 LOEL mg/kg 0 additional sex LOEL study unit sex LOEL study unit 2.46 timepoint LOEL mg/kg transient 1.5744 level score significance % 0 male & f 365 874 n.g. 100 0 male & f 547 591 n.g. 100 0 male & f 700 664 n.g. 100 2.46 male & f 365 2820 <0.05 322.65 2.46 male & f 547 2149 none 363.62 2.46 male & f 700 1583 <0.05 238.4 6.55 male & f 365 2659 <0.05 304.23 6.55 male & f 547 3899 <0.05 659.72 6.55 male & f 700 1806 <0.05 271.98 additional sign. increase of total leukocytes, increase of LD at d 547 not sign. due to high SD, effect partly reversible (Mauderly: Tab.E1-E3) body weight 28. Sep. 12 Page 5 from 26 Carbon Black effect sex weight decreased male & female gram dose 2.46 LOEL mg/kg transient 1.5744 timepoint level 0 female 300 272 n.g. 100 0 male 450 485 n.g. 100 0 male 500 485 n.g. 100 0 female 500 324 n.g. 100 0 male 680 405 n.g. 100 0 female 730 296 n.g. 100 2.46 female 300 268 none 98.52 2.46 male 450 480 none 98.96 2.46 male 500 465 <0.05 95.87 2.46 female 500 314 <0.05 96.91 2.46 male 680 385 <0.05 95.06 2.46 female 730 268 <0.05 90.54 6.55 female 300 260 <0.05 95.58 6.55 male 450 440 <0.05 90.72 6.55 female 500 296 <0.05 91.35 6.55 female 500 435 <0.05 134.25 6.55 male 680 355 <0.05 87.65 6.55 female 730 244 <0.05 82.43 additional sex LOEL study unit score significance % sign. dose-dependent decrease of bw, p<0.05 at HD after ~d300(f)+450(m), at LD after d500 (f+m) ( clinical symptoms effect sex mortality male & female median survival ti dose 2.46 LOEL mg/kg transient 1.5744 timepoint level 0 male 780 639 0 score significance % n.g. 100 100 female 780 696 n.g. 2.46 male 780 605 <0.05 94.67 2.46 female 780 707 none 101.58 6.55 male 780 599 <0.05 93.74 6.55 female 780 675 <0.05 96.98 additional 28. Sep. 12 sex LOEL study unit sign. increase in LD m and HD m & f, m more sensitive, LOEL f = 6,55 mg/m3 Page 6 from 26 Carbon Black effect sex mortality male & female % dose sex LOEL study unit 2.46 timepoint LOEL mg/kg transient 1.5744 significance % 16 n.g. 100 547 8 n.g. 100 700 92 n.g. 100 female 700 48 n.g. 100 2.46 male 547 30 n.g. 187.5 2.46 female 547 8 n.g. 100 2.46 male 700 92 n.g. 100 2.46 female 700 42 n.g. 87.5 6.55 male 547 28 n.g. 175 6.55 female 547 14 n.g. 175 6.55 male 700 98 n.g. 106.52 female 700 62 n.g. 129.16 0 male 547 0 female 0 male 0 6.55 additional level score increased mortality in m at LD & HD after 500 d, and in f at HD after 700 d (Fig.1); m more sensitive LOEL f 6,55 mg/m3 haematology effect sex SCE male & female LOEL study unit LOEL mg/kg transient n.a. additional no effect: no increase of SCE in primary cultures of circulating lymphocytes ex vivo at d 91 (not investigated at later tp effect sex micronuclei male & female LOEL study unit LOEL mg/kg transient n.a. additional no effect: no increase of micronuclei in in primary cultures of circulating lymphocytes ex vivo at d 91 investigated at later tp lung effect sex tumor supressor protein p53 male & female n.a. sex dose 6.55 timepoint 0 male & f 780 6.55 male & f 780 additional 28. Sep. 12 LOEL study unit LOEL mg/kg transient 4.192 level score no change significance % n.a. n.a. p53 protein in 1/3 squamous cell carcinomas in HD group (sex not specified) with 26-50% of nuclei showing immunoreactivity Page 7 from 26 Carbon Black effect sex fibrosis male & female % dose 1.5744 significance % 547 3 n.g. 100 0 female 547 0 n.g. 100 0 male 772 1 n.g. 100 0 female 772 2 n.g. 100 2.46 male 547 61 n.g. 2033.3 2.46 female 547 52 n.g. 2.46 male 772 92 n.g. 9200 2.46 female 772 96 n.g. 4800 6.55 male 547 75 n.g. 2500 6.55 female 547 78 n.g. 6.55 male 772 99 n.g. 9900 female 772 100 n.g. 5000 level score increase of incidences of interstitial fibrosis in alveolar septa for rats died or euthanized < d 547 or > 547 with dose- and time-dependent increase of severity scores, prominent lesion >=365d, correlatin with increased interstitial aggregation of macrophages; n of control, LD, HD: <547d, m N=32, 44, 44 N=23, 21, 27 ; >547d, m N=86, 71, 71, f N=91, 95, 87 (tab.5,6) effect sex bronchiolo-alveolar adenocarcinoma female dose timepoint transient male 6.55 % 2.46 LOEL mg/kg 0 additional sex LOEL study unit sex LOEL study unit 2.46 timepoint 0 male 772 0 LOEL mg/kg transient 1.5744 level significance % 0.92 score n.g. 100 female 772 0 n.g. 100 2.46 male 772 0.94 n.g. 102.17 2.46 female 772 5.6 n.g. 6.55 male 772 0.94 n.g. female 772 19 n.g. 6.55 additional 102.17 dose-dependent increase in f (tab.10), pathogenesis from a continuum that began with alveolar epith hyperplasia; susceptible rats (>365 d up to d 772; control, LD, HD): m N=109, 106, 106, f N=105, 1 105; biased by low survival rates of m >= 680 d effect sex p53 mutations male & female LOEL study unit LOEL mg/kg transient n.a. additional no effect: no increase of mutations of p53 in lung tumors effect sex K-ras mutations male & female LOEL study unit LOEL mg/kg transient n.a. additional no effect: no increase of mutations of K-ras in lung tumors effect sex PAH-derived DNA adducts male & female LOEL study unit LOEL mg/kg transient n.a. additional 28. Sep. 12 no effect: no increased level of PAH-derived DNA adducts in total lung tissue (32P postlabeling) Page 8 from 26 Carbon Black effect sex deposits male & female n.a. dose sex timepoint transient 1.5744 level score significance male & f 365 no change n.a. 0 male & f 547 no change n.a. 0 male & f 772 no change 2.46 male & f 365 2.46 male & f 547 n.a. 2.46 male & f 772 n.a. 6.55 male & f 365 n.a. 6.55 male & f 547 n.a. male & f 772 n.a. 6.55 sex infiltration male & female dose n.a. n.a. sex LOEL study unit 2.46 timepoint LOEL mg/kg transient 1.5744 level score significance 0 male & f 365 no change n.a. 0 male & f 547 no change n.a. 0 male & f 772 no change 2.46 male & f 365 2.46 male & f 547 n.a. 2.46 male & f 772 n.a. 6.55 male & f 365 n.a. 6.55 male & f 547 n.a. male & f 772 n.a. 6.55 additional % n.a. n.a. increased incidences of infiltration of neutrophils as part of inflammatory response >= 365d (see inflammation) effect sex adenosquamous carcinoma male & female % sex dose % increased incidences of cholesterol clefts (by-products of necrosis) as part of inflammatory response 365d (see inflammation) effect LOEL study unit 6.55 timepoint LOEL mg/kg transient 4.192 significance % 0 male 772 0 n.g. 100 level score 0 100 female 772 0 n.g. 2.46 male 772 0 n.g. 2.46 female 772 0 n.g. 6.55 male 772 0.94 n.g. 6.55 female 772 0.95 n.g. additional 28. Sep. 12 2.46 LOEL mg/kg 0 additional n.a. LOEL study unit single cases at HD m and f (tab.10); susceptible rats (>365 d up to d 772; control, LD, HD): m N=10 106, 106, f N=105, 107, 105; biased by low survival rates of m >= 680 d Page 9 from 26 Carbon Black effect sex squamous cell carcinoma male & female % timepoint transient 4.192 sex significance % 0 male 772 0.92 n.g. 100 level score 0 female 772 0 n.g. 100 2.46 male 772 0 n.g. 0 2.46 female 772 0 n.g. 6.55 male 772 1.89 n.g. 6.55 female 772 0.95 n.g. effect sex bronchiolo-alveolar adenoma female sex dose 205.43 single cases at HD m & f and at control m (tab.10); susceptible rats (>365 d up to d 772; control, LD HD): m N=109, 106, 106, f N=105, 107, 105; biased by low survival rates of m >= 680 d % LOEL study unit 2.46 timepoint LOEL mg/kg transient 1.5744 level score significance % 0 male 772 0.92 n.g. 100 0 female 772 0 n.g. 100 2.46 male 772 0.94 n.g. 102.17 2.46 female 772 1.87 n.g. 6.55 male 772 0 n.g. 6.55 female 772 12.4 n.g. additional sex squamous cysts male & female dose 0 dose-dependent increase in f (tab.10); pathogenesis from a continuum that began with alveolar epith hyperplasia; n of susceptible rats (>365 d up to d 772; control, LD, HD): m N=109, 106, 106, f N=10 107, 105; biased by low survival rates of m >= 680 d effect sex LOEL study unit 2.46 timepoint LOEL mg/kg transient 1.5744 level score significance % 0 male 730 0 n.g. 100 0 female 730 0 n.g. 100 0 male 772 0 n.g. 100 0 female 772 0 n.g. 100 2.46 male 730 0 n.g. 2.46 female 730 1.9 n.g. 2.46 male 772 100 n.g. 2.46 female 772 19.4 n.g. 6.55 male 730 5.4 n.g. 6.55 female 730 7.2 n.g. 6.55 female 772 44.4 n.g. additional 28. Sep. 12 6.55 LOEL mg/kg dose additional % LOEL study unit f more sensitive, LOEL m = 6,55 mg/m3: increased incidences of squamous cysts (squamous epithelium with central keratin accumulation) at d 547-730 in LD & HD f with dose- & time-dependen increase, only HD in m; >730 d increased effect in f, low survival rate of m ; N of control, LD, HD: 54 730 d, m N=77, 72, 74, f N=56, 54, 69; >730d, m N=9, 1, 0, f N=35, 36, 18 (tab.7) Page 10 from 26 Carbon Black effect sex squamous metaplasia % female sex 0 male 547 0 female 547 0 male 0 transient 4.192 % 0 n.g. 100 0 n.g. 100 772 0 n.g. 100 female 772 0 n.g. 100 2.46 male 547 2 n.g. 2.46 female 547 0 n.g. 2.46 male 772 1 n.g. 2.46 female 772 6 n.g. 6.55 male 547 2 n.g. 6.55 female 547 0 n.g. 6.55 male 772 3 n.g. 6.55 female 772 24 n.g. level score sign. effect at HD f > 547 for rats died or euthanized < d 547 or > d 547 (tab.5,6); N of control, LD, H <547 d, m N=32, 44, 44, f N=23, 21, 27 ; >547 d, m N=86, 71, 71, f N=91, 95, 87 sex fibrosis male & female dose timepoint LOEL mg/kg significance effect sex LOEL study unit 2.46 timepoint LOEL mg/kg transient 1.5744 level score significance % 0 male 547 0 n.g. 100 0 female 547 0 n.g. 100 0 male 772 0 n.g. 100 0 female 772 0 n.g. 100 2.46 male 547 0 n.g. 2.46 female 547 0 n.g. 2.46 male 772 6 n.g. 2.46 female 772 17 n.g. 6.55 male 547 2 n.g. 6.55 female 547 7 n.g. 6.55 male 772 25 n.g. 6.55 female 772 31 n.g. additional 28. Sep. 12 6.55 dose additional % LOEL study unit increase of incidences of focal fibrosis with epithelial hyperplasia (nodular focus of fibrosis compose dense collagen bundles and small alveolar structures, surreounded by hyperplastic epithelium and associated neutrophils) for rats died or euthanized < d 547 or > d 547 with dose- and time-depende increase of severity scores >= d485 in f and d516 in m; f more sensitive with higher incidences and severity scores; n of control, LD, HD: <547d, m N=32, 44, 44, f N=23, 21, 27 ; >547d, m N=86, 71, 7 N=91, 95, 87 (tab.5,6) Page 11 from 26 Carbon Black effect sex hyperplasia alveolar type II cells male & female % sex dose 1.5744 significance % 91 0 n.g. 100 0 male & f 182 0 n.g. 100 0 male & f 365 0 n.g. 100 0 male & f 547 0 n.g. 100 0 male & f 700 0 n.g. 100 0 male & f 772 12 n.g. 100 2.46 male & f 91 67 n.g. 2.46 male & f 182 100 n.g. 2.46 male & f 365 100 n.g. 2.46 male & f 547 100 n.g. 2.46 male & f 700 100 n.g. 2.46 male & f 772 100 n.g. 6.55 male & f 91 100 n.g. 6.55 male & f 182 100 n.g. 6.55 male & f 365 100 n.g. 6.55 male & f 547 100 n.g. 6.55 male & f 700 100 n.g. 6.55 male & f 772 100 n.g. level score 833.33 833.33 increase of incidences of alveolar epithelial hyperplasia (increased number of alveolar type II cells) ( affected rats), all rats affected at LD >= d 182 & at HD all tp, not reversible during 42 d p-e with dos and time-dependent increase of grading (see hyperplasia: grading); serial sacrifices: N=3/sex and g terminal sacrifice control, LD, HD: N=34, 18, 12 (Mauderley: Tab.F1, F3, F5, F7, F8, F9) sex alveolar proteinosis male & female dose timepoint transient male & f effect sex LOEL study unit 2.46 timepoint LOEL mg/kg transient 1.5744 significance % 0 male 547 0 n.g. 100 0 female 547 0 n.g. 100 0 male 772 0 n.g. 100 0 female 772 0 n.g. 100 2.46 male 547 0 n.g. 2.46 female 547 14 n.g. 2.46 male 772 0 n.g. 2.46 female 772 27 n.g. 6.55 male 547 18 n.g. 6.55 female 547 56 n.g. 6.55 male 772 25 n.g. 6.55 female 772 99 n.g. additional 28. Sep. 12 2.46 LOEL mg/kg 0 additional % LOEL study unit level score f more sensitive, LOEL m 6,55 mg/m3; increase of incidences of alveolar proteinosis for rats died or euthanized < d 547 or > d 547, dose- and time-dependent increase of severity scores >=365d; effec seen in LD & HD f, only HD m and at lower incidence than in f; n of control, LD, HD: < 547d, m N=32 44, f N=23, 21, 27 ; >547d, m N=86, 71, 71, f N=91, 95, 87 (tab.5,6) Page 12 from 26 Carbon Black effect sex fibrosis male & female % dose sex timepoint male & f 700 LOEL mg/kg transient 1.5744 level significance % 0 score n.g. 100 100 0 male & f 772 0 n.g. 2.46 male & f 700 0 n.g. 2.46 male & f 772 28 n.g. 6.55 male & f 700 67 n.g. male & f 772 33 n.g. additional increase of incidences of focal fibrosis (% affected rats), from d 700 at HD & at d 772 at LD, partly reversible at HD, for grading see fibrosis: grading; serial sacrifices: N=3/sex and group; terminal sac control, LD, HD: N=34, 18, 12 (Mauderley: Tab.F1, F3, F5, F7, F8, F9) effect sex inflammation male & female dose sex LOEL study unit 2.46 timepoint LOEL mg/kg transient 1.5744 significance % 0 n.g. 100 547 0 n.g. 100 772 1 n.g. 100 female 772 5 n.g. 100 2.46 male 547 9 n.g. 2.46 female 547 24 n.g. 2.46 male 772 14 n.g. 1400 2.46 female 772 34 n.g. 680 6.55 male 547 20 n.g. 6.55 female 547 37 n.g. 6.55 male 772 34 n.g. 3400 female 772 63 n.g. 1260 0 male 547 0 female 0 male 0 6.55 additional sex hyperplasia alveolar type II cells male & female % sex dose level score increase of incidences of chronic-active inflammation, dose- and time-dependent increase of severit scores >= 365d, focal aggregates of neutrophils, degenerate inflammatory cells, cell debris and cholesterol clefts; n of control, LD, HD: <547d, m N=32, 44, 44, f N=23, 21, 27 ; <780d, m N=86, 71 f N=91, 95, 87 (tab.5,6) effect LOEL study unit 2.46 transient 1.5744 significance % male 547 0 n.g. 100 0 female 547 0 n.g. 100 0 male 772 2 n.g. 100 0 female 772 9 n.g. 100 2.46 male 547 98 n.g. 2.46 female 547 90 n.g. 2.46 male 772 100 n.g. 5000 2.46 female 772 100 n.g. 1111.1 6.55 male 547 100 n.g. 6.55 female 547 93 n.g. 6.55 male 772 100 n.g. 5000 female 772 100 n.g. 1111.1 6.55 timepoint LOEL mg/kg 0 additional 28. Sep. 12 2.46 0 6.55 % LOEL study unit level score increase of incidences of alveolar epithelial hyperplasia (increased number of alveolar type II cells) f rats died or euthanized < d 547 or > d 547, dose- and time-dependent increase of severity scores > d91, localization mainly in centriacinar region; n of control, LD, HD: <547 d, m N=32, 44, 44, f N=23 27 ; <780 d, m N=86, 71, 71, f N=91, 95, 87 (tab.5,6) Page 13 from 26 Carbon Black effect sex macrophage infiltration male & female % dose timepoint transient 1.5744 significance % male 547 3 n.g. 100 0 female 547 0 n.g. 100 0 male 772 0 n.g. 100 0 female 772 4 n.g. 100 2.46 male 547 100 n.g. 3333.3 2.46 female 547 100 n.g. 2500 2.46 male 772 100 n.g. 3333.3 2.46 female 772 100 n.g. 2500 6.55 male 547 10 n.g. 333.33 6.55 female 547 96 n.g. 6.55 male 772 100 n.g. female 772 100 n.g. 6.55 28. Sep. 12 2.46 LOEL mg/kg 0 additional sex LOEL study unit level score 2500 increase of incidences of enlarged alveolar macrophages (alveolar macrophage hyperplasia) for rats died or euthanized < d 547 or > d 547; at later tps macrophage aggregation in centriacinar region; n control, LD, HD: <547 d, m N=32, 44, 44, f N=23, 21, 27 ; >547d, m N=86, 71, 71, f N=91, 95, 87 Page 14 from 26 Carbon Black effect sex burden male & female mg/total lung dose 2.46 LOEL mg/kg transient 1.5744 timepoint level 91 0 n.g. 100 female 91 0 n.g. 100 male 182 0 n.g. 100 0 female 182 0 n.g. 100 0 male 365 0 n.g. 100 0 female 365 0 n.g. 100 0 male 547 0 n.g. 100 0 female 547 0 n.g. 100 0 male 700 0 n.g. 100 0 female 700 0 n.g. 100 2.46 male 91 1.7 n.g. 100 2.46 female 91 1.7 n.g. 2.46 male 182 5.6 n.g. 2.46 female 182 3.3 n.g. 2.46 male 365 7.9 n.g. 2.46 female 365 6.2 n.g. 2.46 male 547 16 n.g. 2.46 female 547 12.1 n.g. 2.46 male 700 24.7 n.g. 2.46 female 700 17.3 n.g. 6.55 male 91 5.9 n.g. 6.55 female 91 4.9 n.g. 6.55 male 182 13.7 n.g. 6.55 female 182 11 n.g. 6.55 male 365 15.1 n.g. 6.55 female 365 12.2 n.g. 6.55 male 547 29.9 n.g. 6.55 female 547 22.7 n.g. 6.55 male 700 40.1 n.g. 6.55 female 700 36.9 n.g. 0 male 0 0 additional 28. Sep. 12 sex LOEL study unit score significance % 347.05 dose & time-dependent increase of total lung burden (no lavage), progressive accumulation accelera after 365d control values assumed, tab.3) Page 15 from 26 Carbon Black effect sex metaplasia male & female % dose sex LOEL mg/kg transient 1.5744 significance % 0 n.g. 100 547 0 n.g. 100 780 0 n.g. 100 female 780 1 n.g. 100 2.46 male 547 2 n.g. 2.46 female 547 29 n.g. 2.46 male 780 15 n.g. 2.46 female 780 66 n.g. 6.55 male 547 25 n.g. 6.55 female 547 52 n.g. 6.55 male 780 66 n.g. female 780 97 n.g. 547 0 female 0 male 0 sex metaplasia male & female dose level score 6600 9700 increase of incidences of bronchiolar-alveolar metaplasia, dose- and time-dependent increase of severity scores >= 365d for rats died or euthanized < d 547 or > d 547, f more sensitive with higher incidences and severity scores; n of control, LD, HD: <547d, m N=32, 44, 44, f N=23, 21, 27 ; <780d N=86, 71, 71, f N=91, 95, 87 (tab.5,6) effect sex LOEL study unit 2.46 timepoint LOEL mg/kg transient 1.5744 significance % 0 male & f 365 0 n.g. 100 0 male & f 547 0 n.g. 100 0 male & f 700 0 n.g. 100 0 male & f 772 3 n.g. 100 2.46 male & f 365 0 n.g. 2.46 male & f 547 50 n.g. 2.46 male & f 700 83 n.g. 2.46 male & f 772 94 n.g. 6.55 male & f 365 33 n.g. 6.55 level score male & f 547 100 n.g. 6.55 male & f 700 100 n.g. 6.55 male & f 772 100 n.g. additional sex alveolar clearance male & female dose 3133.3 3333.3 dose- and time-dependent increase of incidences of bronchiolar-alveolar metaplasia (% affected rat from d 365 at HD % d 547 at LD, not reversible, for grading see bronchiolar-alveolar metaplasia: grading; serial sacrifices: N=3/sex and group; terminal sacrifice control, LD, HD: N=34, 18, 12 (Mauderley: Tab.F1, F3, F5, F7, F8, F9) effect sex LOEL study unit 2.46 timepoint LOEL mg/kg transient 1.5744 significance % 0 male & f 217 79 n.g. 100 level score 0 male & f 673 69 n.g. 100 2.46 male & f 217 41 n.g. 51.89 2.46 male & f 673 18 n.g. 26.08 6.55 male & f 217 24 n.g. 30.37 male & f 673 14 n.g. 20.28 6.55 additional 28. Sep. 12 timepoint male 6.55 % 2.46 0 additional % LOEL study unit decrease of alveolar clearance rate indicated from decreased clearance of radiolabeled tracer partic ([7Be]CB) on d 126 each after inhalative uptake on d 91 or d 547 = tps of d 217 & d 673 (100% %retained, calculated from Tab.11) Page 16 from 26 Carbon Black effect sex clearance male & female n.a. dose sex 1.5744 level score significance 91 no change n.a. 0 male & f 182 no change n.a. 0 male & f 365 no change n.a. 0 male & f 547 no change n.a. 0 male & f 772 no change 2.46 male & f 91 2.46 male & f 182 n.a. 2.46 male & f 365 n.a. 2.46 male & f 547 n.a. 2.46 male & f 772 n.a. 6.55 male & f 91 n.a. 6.55 male & f 182 n.a. 6.55 male & f 365 n.a. 6.55 male & f 547 n.a. 6.55 male & f 772 n.a. macrophage damage male & female dose sex 0 male & f n.a. n.a. LOEL study unit 2.46 timepoint LOEL mg/kg transient 1.5744 level score 547 no change no change significance n.a. 0 male & f 772 male & f 547 2.46 male & f 772 n.a. 6.55 male & f 547 n.a. 6.55 male & f 772 n.a. n.a. increase of cellular debris from macrophages at >= 547 d effect sex macrophages interstitial male & female dose sex LOEL study unit 2.46 timepoint LOEL mg/kg transient 1.5744 level score significance 0 male & f 91 no change n.a. 0 male & f 182 no change n.a. 0 male & f 365 no change n.a. 0 male & f 547 no change n.a. 0 male & f 772 no change 2.46 male & f 365 2.46 male & f 547 n.a. 2.46 male & f 772 n.a. 6.55 male & f 91 n.a. 6.55 male & f 182 n.a. 6.55 male & f 365 n.a. 6.55 male & f 547 n.a. male & f 772 n.a. 6.55 additional % n.a. 2.46 additional % particle-laden macrophages seen at all tps, however, at later tps free particles increased due to cellu damage of macrophages sex 28. Sep. 12 timepoint transient male & f effect n.a. 2.46 LOEL mg/kg 0 additional n.a. LOEL study unit % n.a. n.a. few particle-containing interstitial macrophages at d 91 at HD, marked increase at >=d 365 at both d including both single and aggregated macrophages Page 17 from 26 Carbon Black effect sex foci male & female n.a. dose 0 sex male & f level 547 score no change significance 547 n.a. 547 n.a. foci with increased amount of epithelial hyperplasia including some foci with papillary projections of hyperplasitc epithelium or multilayering of hyperplastic epithelial cells at d 547 male & female dose 0 6.55 additional sex LOEL study unit 6.55 timepoint LOEL mg/kg transient 4.192 level score significance male & f 91 6.1 n.g. male & f 91 20.1 <0.05 sex squamous cysts male & female sex LOEL study unit 2.46 timepoint 0 male & f 700 LOEL mg/kg 1.5744 level significance % 0 score n.g. 100 100 0 male & f 772 0 n.g. male & f 700 0 n.g. 2.46 male & f 772 28 n.g. 6.55 male & f 700 33 n.g. 6.55 male & f 772 42 n.g. increase of incidences of squamous cysts (% affected rats) from d 700 at HD & at d 772 at LD, not reversible; serial sacrifices: N=3/sex and group; terminal sacrifice control, LD, HD: N=34, 18, 12 (Mauderley: Tab.F1, F3, F5, F7, F8, F9) effect sex squamous metaplasia male & female dose sex LOEL study unit 2.46 timepoint LOEL mg/kg transient 1.5744 level score significance 0 male & f 772 0 n.g. 2.46 male & f 772 0.11 n.g. 6.55 male & f 772 0.75 n.g. additional 329.5 transient 2.46 additional % 100 sign. increase of PAH-derived DNA adducts in alveolar type II cells at HD at d 91 (no data for LD or other tp) effect dose % n.a. male & f PAH-derived DNA adducts 28. Sep. 12 1.5744 male & f sex grading timepoint transient 6.55 effect % 2.46 LOEL mg/kg 2.46 additional adducts/10E9 bas LOEL study unit % 100 increase of grading (% affected lung) of alveolar squamous metaplasia at d 772 (for incidences see: squamous metaplasia: %), grading scale (% of affected lung): 1 (<10%), 2 (10-25%), 3 (25-50%), 4 (>50%); serial sacrifices: N=3/sex and group; terminal sacrifice control, LD, HD: N=34, 18, 12 (Mauderley: Tab.F1, F3, F5, F7, F8, F9) Page 18 from 26 Carbon Black effect sex macrophage infiltration male & female grading dose sex timepoint transient 1.5744 level score significance % male & f 91 0 n.g. 100 0 male & f 182 0 n.g. 100 0 male & f 365 0 n.g. 100 0 male & f 547 0 n.g. 100 0 male & f 700 0 n.g. 100 0 male & f 772 0.06 n.g. 100 2.46 male & f 91 1 n.g. 2.46 male & f 182 1.33 n.g. 2.46 male & f 365 2 n.g. 2.46 male & f 547 2.33 n.g. 2.46 male & f 700 3 n.g. 2.46 male & f 772 2.69 n.g. 6.55 male & f 91 2 n.g. 6.55 male & f 182 2.17 n.g. 6.55 male & f 365 3 n.g. 6.55 male & f 547 3 n.g. 6.55 male & f 700 3.5 n.g. 6.55 male & f 772 3.42 n.g. sex metaplasia male & female dose 4483.3 5700 dose- and time-dependent increase of grading of enlarged alveolar macrophages (alveolar macroph hyperplasia), for incidences see macrophage infiltration: %; serial sacrifices: N=3/sex and group; terminal sacrifice control, LD, HD: N=34, 18, 12 (Mauderley: Tab.F1, F3, F5, F7, F8, F9) effect sex LOEL study unit 2.46 timepoint LOEL mg/kg transient 1.5744 level score significance % 0 male & f 365 0 n.g. 100 0 male & f 547 0 n.g. 100 0 male & f 700 0 n.g. 100 0 male & f 772 0.06 n.g. 100 2.46 male & f 365 0 n.g. 2.46 male & f 547 1 n.g. 2.46 male & f 700 1.33 n.g. 2.46 male & f 772 2 n.g. 6.55 male & f 365 0.5 n.g. 6.55 male & f 547 1.83 n.g. 6.55 male & f 700 2.5 n.g. 6.55 male & f 772 3.08 n.g. additional 28. Sep. 12 2.46 LOEL mg/kg 0 additional grading LOEL study unit 3333.3 5133.3 dose- and time-dependent increase of grading (% affected lung) of bronchiolar-alveolar metaplasia f d 365 at HD & d 547 at LD, not reversible (for incidences see: bronchiolar-alveolar metaplasia: %), grading scale (% of affected lung): 1 (<10%), 2 (10-25%), 3 (25-50%), 4 (>50%); serial sacrifices: N=3/sex and group; terminal sacrifice control, LD, HD: N=34, 18, 12 (Mauderley: Tab.F1, F3, F5, F7 F9) Page 19 from 26 Carbon Black effect sex hyperplasia alveolar type II cells male & female grading sex dose 1.5744 significance % 91 0 n.g. 100 0 male & f 182 0 n.g. 100 0 male & f 365 0 n.g. 100 0 male & f 547 0 n.g. 100 0 male & f 700 0 n.g. 100 0 male & f 772 0.18 n.g. 100 2.46 male & f 182 1.33 n.g. 2.46 male & f 365 2 n.g. 2.46 male & f 547 2.17 n.g. 2.46 male & f 700 3 n.g. 2.46 male & f 772 3.06 n.g. 6.55 male & f 91 2 n.g. 6.55 male & f 182 2 n.g. 6.55 male & f 365 2.83 n.g. 6.55 male & f 547 2.83 n.g. 6.55 male & f 700 3.17 n.g. 6.55 male & f 772 3.67 n.g. level score 1700 2038.9 dose- and time-dependent increase of grading (% affected lung) of alveolar epithelial hyperplasia; no reversible during 42 d p-e (for incidences see: hyperplasia: %), grading scale (% of affected lung): 1 (<10%), 2 (10-25%), 3 (25-50%), 4 (>50%); serial sacrifices: N=3/sex and group; terminal sacrifice control, LD, HD: N=34, 18, 12 (Mauderley: Tab.F1, F3, F5, F7, F8, F9) sex alveolar proteinosis male & female dose timepoint transient male & f effect sex LOEL study unit 2.46 timepoint LOEL mg/kg transient 1.5744 level score significance % 0 male & f 365 0 n.g. 100 0 male & f 547 0 n.g. 100 0 male & f 700 0 n.g. 100 100 0 male & f 772 0 n.g. 2.46 male & f 365 0.17 n.g. 2.46 male & f 547 0.33 n.g. 2.46 male & f 700 0.33 n.g. 2.46 male & f 772 0.78 n.g. 6.55 male & f 365 1.33 n.g. 6.55 male & f 547 1.33 n.g. 6.55 male & f 700 1.83 n.g. 6.55 male & f 772 3.5 n.g. additional 28. Sep. 12 2.46 LOEL mg/kg 0 additional grading LOEL study unit dose- and time-dependent increase of grading (% affected lung) of alveolar proteinosis from d 365, reversible (for incidences see: alveolar proteinosis: %), grading scale (% of affected lung): 1 (<10%) (10-25%), 3 (25-50%), 4 (>50%); serial sacrifices: N=3/sex and group; terminal sacrifice control, LD N=34, 18, 12 (Mauderley: Tab.F1, F3, F5, F7, F8, F9) Page 20 from 26 Carbon Black effect sex alveolar proteinosis male & female % dose significance % 0 n.g. 100 0 male & f 547 0 n.g. 100 0 male & f 700 0 n.g. 100 0 male & f 772 0 n.g. 100 2.46 male & f 365 17 n.g. 2.46 male & f 547 33 n.g. 2.46 male & f 700 33 n.g. 2.46 male & f 772 56 n.g. 6.55 male & f 365 100 n.g. 6.55 male & f 547 67 n.g. 6.55 male & f 700 67 n.g. level score male & f 772 100 n.g. dose- and time-dependent increase of incidences of alveolar proteinosis (% affected rats) from d 36 not reversible, for grading see alveolar proteinosis: grading; serial sacrifices: N=3/sex and group; terminal sacrifice control, LD, HD: N=34, 18, 12 (Mauderley: Tab.F1, F3, F5, F7, F8, F9) effect sex fibrosis male & female sex LOEL study unit 2.46 timepoint LOEL mg/kg transient 1.5744 level score significance % 0 male & f 700 0 n.g. 100 100 0 male & f 772 0 n.g. 2.46 male & f 700 0 n.g. 2.46 male & f 772 0.5 n.g. 6.55 male & f 700 1.33 n.g. male & f 772 0.75 n.g. 6.55 additional 28. Sep. 12 1.5744 365 dose timepoint transient male & f 6.55 grading 2.46 LOEL mg/kg 0 additional sex LOEL study unit increase of grading (% affected lung) of focal fibrosis from d 700 at HD & at d 772 at LD, partly reve at HD (for incidences see: fibrosis: %), grading scale (% of affected lung): 1 (<10%), 2 (10-25%), 3 ( 50%), 4 (>50%); serial sacrifices: N=3/sex and group; terminal sacrifice control, LD, HD: N=34, 18, (Mauderley: Tab.F1, F3, F5, F7, F8, F9) Page 21 from 26 Carbon Black effect sex fibrosis male & female grading dose 2.46 timepoint LOEL mg/kg transient 1.5744 level score significance % 0 male & f 182 0 n.g. 100 0 male & f 365 0 n.g. 100 0 male & f 547 0 n.g. 100 0 male & f 700 0 n.g. 100 0 male & f 772 0.03 n.g. 100 2.46 male & f 182 0 n.g. 2.46 male & f 365 0.33 n.g. 2.46 male & f 547 2 n.g. 2.46 male & f 700 2.83 n.g. 2.46 male & f 772 2.67 n.g. 6.55 male & f 182 0.33 n.g. 6.55 male & f 365 1.17 n.g. 6.55 male & f 547 2.5 n.g. 6.55 male & f 700 3 n.g. male & f 772 3 n.g. 6.55 additional 28. Sep. 12 sex LOEL study unit 8900 10000 dose- and time-dependent increase of grading (% affected lung) of alveolar septal fibrosis; from d 18 HD & d 365 at LD, not reversible (for incidences see: fibrosis: %), grading scale (% of affected lung) (<10%), 2 (10-25%), 3 (25-50%), 4 (>50%); serial sacrifices: N=3/sex and group; terminal sacrifice control, LD, HD: N=34, 18, 12 (Mauderley: Tab.F1, F3, F5, F7, F8, F9) Page 22 from 26 Carbon Black effect sex weight male & female gram dose 2.46 LOEL mg/kg transient 1.5744 timepoint level 91 1.32 n.g. 100 female 91 0.94 n.g. 100 male 182 1.4 n.g. 100 0 female 182 1.03 n.g. 100 0 male 365 1.58 n.g. 100 0 female 365 1.09 n.g. 100 0 male 547 1.77 n.g. 100 0 female 547 1.45 n.g. 100 0 male 700 1.99 n.g. 100 0 female 700 1.25 n.g. 100 2.46 male 91 1.35 none 102.27 2.46 female 91 1.06 none 112.76 2.46 male 182 1.71 none 122.14 2.46 female 182 1.17 <0.05 113.59 2.46 male 365 2.17 <0.05 137.34 2.46 female 365 1.59 <0.05 145.87 2.46 male 547 2.69 none 151.97 2.46 female 547 2.01 none 138.62 2.46 male 700 3.12 none 156.78 2.46 female 700 2.42 <0.05 193.6 6.55 male 91 1.56 none 118.18 6.55 female 91 1.21 <0.05 128.72 6.55 male 182 2.12 none 151.42 6.55 female 182 1.68 <0.05 163.1 6.55 male 365 3.31 <0.05 209.49 6.55 female 365 2.56 <0.05 234.86 6.55 male 547 3.5 <0.05 197.74 6.55 female 547 3.71 <0.05 255.86 6.55 male 700 4.48 none 225.12 6.55 female 700 4.95 <0.05 396 0 male 0 0 additional 28. Sep. 12 sex LOEL study unit score significance % dose- & time-dependent increase of lung wt, sign. in f HD, f more sensitive: sign. effect seen earlier and at more tp at LD (tab.4) Page 23 from 26 Carbon Black effect sex macrophage infiltration male & female % dose sex timepoint transient 1.5744 significance % male & f 91 0 n.g. 100 0 male & f 182 0 n.g. 100 0 male & f 365 0 n.g. 100 0 male & f 547 0 n.g. 100 0 male & f 700 0 n.g. 100 0 male & f 772 6 n.g. 100 2.46 male & f 91 100 n.g. 2.46 male & f 182 100 n.g. 2.46 male & f 365 100 n.g. 2.46 male & f 547 100 n.g. 2.46 male & f 700 100 n.g. 2.46 male & f 772 100 n.g. 6.55 male & f 91 100 n.g. 6.55 level score male & f 182 100 n.g. 6.55 male & f 365 100 n.g. 6.55 male & f 547 100 n.g. 6.55 male & f 700 100 n.g. 6.55 male & f 772 100 n.g. sex fibrosis male & female dose 1666.7 1666.7 increase of incidences of enlarged alveolar macrophages (alveolar macrophage hyperplasia), all rat affected from d 91-772; for grading see macrophage infiltration: grading; serial sacrifices: N=3/sex a group; terminal sacrifice control, LD, HD: N=34, 18, 12 (Mauderley: Tab.F1, F3, F5, F7, F8, F9) effect sex LOEL study unit 2.46 timepoint LOEL mg/kg transient 1.5744 significance % 0 male & f 182 0 n.g. 100 0 male & f 365 0 n.g. 100 0 male & f 547 0 n.g. 100 0 male & f 700 0 n.g. 100 0 male & f 772 3 n.g. 100 2.46 male & f 182 0 n.g. 2.46 male & f 365 33 n.g. 2.46 male & f 547 100 n.g. 2.46 male & f 700 100 n.g. 2.46 male & f 772 100 n.g. 6.55 male & f 182 33 n.g. 6.55 male & f 365 67 n.g. 6.55 male & f 547 100 n.g. 6.55 male & f 700 100 n.g. 6.55 male & f 772 100 n.g. additional 28. Sep. 12 2.46 LOEL mg/kg 0 additional % LOEL study unit level score 3333.3 3333.3 increase of incidences of alveolar septal fibrosis (% affected rats), from d 182 at HD & d 365 at LD, rats affected at >= d 547, not reversible, for grading see fibrosis: grading; serial sacrifices: N=3/sex group; terminal sacrifice control, LD, HD: N=34, 18, 12 (Mauderley: Tab.F1, F3, F5, F7, F8, F9) Page 24 from 26 Carbon Black effect sex inflammation male & female grading dose sex timepoint transient 1.5744 level score significance % male & f 182 0 n.g. 100 0 male & f 365 0 n.g. 100 0 male & f 547 0 n.g. 100 0 male & f 700 0 n.g. 100 0 male & f 772 0.09 n.g. 100 2.46 male & f 182 0.17 n.g. 2.46 male & f 365 0.17 n.g. 2.46 male & f 547 1.17 n.g. 2.46 male & f 700 0.67 n.g. 2.46 male & f 772 1 n.g. 6.55 male & f 182 0 n.g. 6.55 male & f 365 0.17 n.g. 6.55 male & f 547 2 n.g. 6.55 male & f 700 1.83 n.g. male & f 772 1.75 n.g. 6.55 sex inflammation male & female dose 1111.1 1944.4 dose- and time-dependent increase of grading (% affected lung) of chronic active inflammation; max d 547, partially reversible thereafter (for incidences see: inflammation: %), grading scale (% of affec lung): 1 (<10%), 2 (10-25%), 3 (25-50%), 4 (>50%); serial sacrifices: N=3/sex and group; terminal sacrifice control, LD, HD: N=34, 18, 12 (Mauderley: Tab.F1, F3, F5, F7, F8, F9) effect sex LOEL study unit 2.46 timepoint LOEL mg/kg transient 1.5744 significance % 0 male & f 182 0 n.g. 100 0 male & f 365 0 n.g. 100 0 male & f 547 0 n.g. 100 0 male & f 700 0 n.g. 100 0 male & f 772 9 n.g. 100 2.46 male & f 182 17 n.g. 2.46 level score male & f 365 17 n.g. 2.46 male & f 547 100 n.g. 2.46 male & f 700 100 n.g. 2.46 male & f 772 72 n.g. 6.55 male & f 182 0 n.g. 6.55 male & f 365 17 n.g. 6.55 male & f 547 100 n.g. 6.55 male & f 700 100 n.g. 6.55 male & f 772 100 n.g. additional 28. Sep. 12 2.46 LOEL mg/kg 0 additional % LOEL study unit 800 1111.1 increase of incidences of chronic active inflammation (% affected rats), single rats on d 182 & 365, a rats affected at >= d 547, partially reversible at LD after 42 d p-e, for grading see inflammation: grad serial sacrifices: N=3/sex and group; terminal sacrifice control, LD, HD: N=34, 18, 12 (Mauderley: Tab.F1, F3, F5, F7, F8, F9) Page 25 from 26 Carbon Black effect sex squamous metaplasia male & female % dose sex LOEL study unit 2.46 timepoint transient 1.5744 significance % 0 n.g. 100 772 6 n.g. 772 33 n.g. 0 male & f 772 2.46 male & f 6.55 male & f additional LOEL mg/kg level score increase of incidences of alveolar squamous metaplasia (% affected rats) at d 772, for grading see squamous metaplasia: grading; serial sacrifices: N=3/sex and group; terminal sacrifice control, LD, H N=34, 18, 12 (Mauderley: Tab.F1, F3, F5, F7, F8, F9) lymph node effect sex burden male & female mg/organ dose 2.46 LOEL mg/kg transient 1.5744 timepoint level 91 0 n.g. 100 female 91 0 n.g. 100 male 182 0 n.g. 100 0 female 182 0 n.g. 100 0 male 365 0 n.g. 100 0 female 365 0 n.g. 100 0 male 547 0 n.g. 100 0 female 547 0 n.g. 100 0 male 700 0 n.g. 100 0 female 700 0 n.g. 100 2.46 male 91 0.026 n.g. 2.46 female 91 0.004 n.g. 2.46 male 182 0.37 n.g. 2.46 female 182 0.233 n.g. 2.46 male 365 0.949 n.g. 2.46 female 365 0.763 n.g. 2.46 male 547 2.461 n.g. 2.46 female 547 1.478 n.g. 2.46 male 700 3.124 n.g. 2.46 female 700 1.782 n.g. 6.55 male 91 0.188 n.g. 6.55 female 91 0.173 n.g. 6.55 male 182 0.978 n.g. 6.55 female 182 0.766 n.g. 6.55 male 365 2.934 n.g. 6.55 female 365 1.471 n.g. 6.55 male 547 4.318 n.g. 6.55 female 547 1.997 n.g. 6.55 male 700 4.448 n.g. female 700 2.076 n.g. 0 male 0 0 6.55 additional 28. Sep. 12 sex LOEL study unit score significance % time-related increase of LALN burden, m > f, control values assumed (Mauderly: Tab.D1-D5) Page 26 from 26 Titanium dioxide molecular weight 79.9 g/mol Study Data study pk 4099 Specification by Producer / Supplier object Primary particle synonym TiO2 P25 size diameter in nm mean 21 inner diameter in nm outer diameter in nm length in nm SD min 15 max 40 medium determ. method distribution type no data surface property cristal structure Anatase shape specific surface in m²/g hydrophilic specific volume in m³/g solubility in mg/l at in °C particle density in g/cm³ additional 3.8 reference MSDS Aug.2011, Degussa A.G., Frankfurt am Main, Germany producer Degussa A.G., Frankfurt am Main, Germany hydrophil pyrogen Specification by Authors object Primary particle size diameter in nm inner diameter in nm outer diameter in nm length in nm mean SD min max medium determ. method distribution type no data surface property cristal structure ~80 % anatase and ~20 % rutile 48 shape specific surface in m²/g solubility in mg/l particle density in g/cm³ additional reference specific volume in m³/g at in °C Titanium dioxide P25, Degussa, Germany; coarse particles removed by a cyclone (shift of MMAD from 1500 nm to 800 nm) Heinrich et al. (1995) Hydrodynamic diameter median 800 nm distibution type GSD 1.8 bulk density 28. Sep. 12 no data mg/ml Page 1 from 9 Titanium dioxide min nm isoelectric point max nm zeta potential medium 10-stage Berner impactor determ. method sample treatment in mV in peak SPR nm in conductivity µS/cm in solubility mg/L in at ºC applic. medium dispersant additional Study Design species rat strain Wistar (Crl:(WI) BR) sex female animal/group 100 route whole-body age of animal 7w exposure in h/d 18 exposure in d/w 5 study dur. in d 730 postexp. dur. in d 180 purity no. of instillation exposure (additional) dose / concentration frequency whole-body in 6 or 12 m3 horizontal flow type chambers; nominal concentration of 10 mg/m3 as time-weighted average of 7,2 mg/m³ for 4 months + 14,8 mg/m³ for 9,5 months + 9,4 mg/m³ for 5,5 months cumulative exposure 88,1 g/m³ x h 1 dose study 0 10 reliability Unit B confidential mg/m³ additional interim sacrifices at d 91, 182, 365, 547, 670, 730 and 910 d number of animals (control/exposed): carcinogenicity: 220/100, additionally histology (serial sacrifice): 80/80 DNA-adducts: 14/14 lung burden: 66/66 lung clearance: 28/28, measured as clearance of radiolabeled Fe2O3 tracer particles (MMAD 0,35 µm) Ti burden via AAS after ashing of tissue Reference author Heinrich U, and Fuhst, R source volume 07VAG06 year institution Fraunhofer ITEM author Muhle H, et al. volume Abschlussbericht: Vergleichend Untersuchungen zur Frage der tumorinduzierenden Wirkung von Dieselmotorabgasen in der Rattenlunge. Final Report in German 1992 1-56 plus Append page year In: Mohr U, et al. (Ed.) Toxic and carcinogenic effects of solid particles in the respiratory tract 1994 29-41 page source institution Fraunhofer ITEM author Creutzenberg O, et al. source J Aerosol Science volume 21 Suppl 1 year 1990 institution Fraunhofer ITEM 28. Sep. 12 page S455-S458 Page 2 from 9 Titanium dioxide author Heinrich U, et al. source Inhalation Toxicology volume 7 year 1995 institution Fraunhofer ITEM page 533-556 Scope animal/group organ necropsy organ weight histopathology guideline lung 10 additional trachea total lung burden (no lavage), alveolar lung clearance of radiolabeled tracer particles; histopatho: H&E stain 10 larynx 10 nose 10 additional body weight nasal and paranasal cavities 100 BALF 10 lymphocytes granulocytes alveolar macrophages hydroxyproline total protein β-glucuronidase lactate dehydrogenase (LDH) additional mortality both lobes, 5x4ml 100 lymph node additional 10 burden in LALN Effect data BALF effect sex alveolar macrophages total x10E6 female dose sex LOEL study unit 7.2 10 timepoint level score significance % female 670 0.29 n.g. 100 0 female 730 0.95 n.g. 100 10 female 670 1.52 n.g. 524.13 10 female 730 1.02 n.g. 107.36 increase of number of AM at 22 and 24 mo of exposure, effect slightly lower than after 18 mo expos 6 mo p-e (addtional BALF data in Study Number 4002) effect sex hydroxyproline female 10 sex timepoint dose LOEL study unit LOEL mg/kg transient 7.2 significance % 0 female 730 100 n.g. 100 10 female 730 260 <0.01 260 additional 28. Sep. 12 transient 0 additional % LOEL mg/kg level score sign. increase of free hydroxyproline at termination of 24 mo exposure, effect higher than after 18 m exposure + 6 mo p-e (addtional BALF data in Study Number 4002) Page 3 from 9 Titanium dioxide effect sex total protein dose female 10 sex timepoint transient 7.2 level score significance % 0 female 730 100 n.g. 100 female 730 890 <0.01 890 effect sign. increase of total protein at termination of 24 mo exposure, effect lower than after 18 mo exposu 6 mo p-e (addtional BALF data in Study Number 4002) sex β-glucuronidase dose LOEL study unit female 10 sex timepoint LOEL mg/kg transient 7.2 level score significance % 0 female 730 100 n.g. 100 10 female 730 6750 <0.01 6750 additional sign. increase of β-glucuronidase activity at termination of 24 mo exposure, effect lower than after 1 exposure + 6 mo p-e (addtional BALF data in Study Number 4002) effect sex lactate dehydrogenase (LDH) female 10 % sex timepoint dose LOEL study unit LOEL mg/kg transient 7.2 significance % 0 female 730 100 n.g. 100 10 female 730 1300 <0.01 1300 additional effect female dose level score sign. increase of LDH activity at termination of 24 mo exposure, effect lower than after 18 mo expos 6 mo p-e (addtional BALF data in Study Number 4002) sex granulocytes x10E6 LOEL mg/kg 10 additional % LOEL study unit sex LOEL study unit LOEL mg/kg transient 7.2 10 timepoint level score significance % 0 female 670 0 n.g. 100 0 female 730 0 n.g. 100 10 female 670 1.42 n.g. female 730 2.67 n.g. 10 additional increase of number of granulocytes (10E6/ml) at 22 and 24 mo of exposure, effect higher than after mo exposure + 6 mo p-e (addtional BALF data in Study Number 4002) body weight effect sex weight decreased gram dose LOEL study unit female 10 sex timepoint LOEL mg/kg transient 7.2 level score significance % 100 0 female 730 417 n.g. 10 female 730 365 <0.05 additional 87.52 sign. decrease of bw from d 400 until termination of exposure clinical symptoms 28. Sep. 12 Page 4 from 9 Titanium dioxide effect sex mortality % female dose sex LOEL study unit LOEL mg/kg transient 7.2 10 timepoint level score significance % 0 female 730 42 n.g. 100 0 female 910 85 n.g. 100 10 female 730 60 <0.05 142.85 10 female 910 90 <0.05 105.88 additional sign. decease of mean lifetime; mortality increased at termination of exposure an after 6 mo p-e lung effect sex weight gram female dose sex transient 7.2 10 timepoint level score significance % female 91 1.28 n.g. 100 0 female 182 1.55 n.g. 100 0 female 365 1.33 n.g. 100 0 female 547 1.54 n.g. 100 0 female 670 1.34 n.g. 100 0 female 730 1.44 n.g. 100 10 female 91 1.93 <0.001 150.78 10 female 182 2.96 <0.001 190.96 10 female 365 4.48 <0.001 336.84 10 female 547 6.16 <0.001 400 10 female 670 5.72 <0.001 426.86 10 female 730 5.29 <0.001 367.36 sign. increase of lung burden from 3 mo throughout 24 mo of exposure, maximum level at 18 mo exposure, partly reversible up to 24 mo exposure (no data for p-e) effect sex burden female dose sex LOEL study unit 10 LOEL mg/kg transient 7.2 significance % 0 female 91 0 n.g. 100 0 female 182 0 n.g. 100 0 female 365 0 n.g. 100 0 female 547 0 n.g. 100 0 female 670 0 n.g. 100 timepoint level score 100 0 female 730 0 n.g. 10 female 91 5.2 n.g. 10 female 182 23.2 n.g. 10 female 365 34.8 n.g. 10 female 547 40 n.g. 10 female 670 37.7 n.g. 10 female 730 39.3 n.g. additional 28. Sep. 12 LOEL mg/kg 0 additional mg/organ LOEL study unit increase of total lung burden (no lavage) from 3 mo throughout 24 mo exposure, maximum level at 1 mo exposure, practically not reversible up to 24 mo exposure (no data for p-e); clearance half-time d; further data for 18 mo exposure + p-e in Study Number 4002 Page 5 from 9 Titanium dioxide effect sex alveolar clearance days female dose sex LOEL study unit 7.2 10 timepoint level score significance % female 91 61 n.g. 100 0 female 365 72 n.g. 100 0 female 547 96 n.g. 100 10 female 91 208 <0.01 340.98 10 female 365 403 <0.01 559.72 10 female 547 357 <0.01 371.87 sign. increase of alveolar clearance half- time of radiolabeled tracer particles, maximum at 12 mo exposure (no data for p-e); further data for 18 mo exposure + p-e in Study Number 4002 effect sex hyperplasia bronchiolo-alveolar female 10 % sex timepoint dose 0 LOEL study unit LOEL mg/kg transient 7.2 level score % n.g. 100 n.g. 100 182 0 female 910 0 10 female 182 100 medium n.g. female 910 99 severe n.g. 10 increased incidences of bronchiolo-alveolar hyperplasia in all rats of interim sacrifices, and in 99/100 at 24 mo exposure + 6 mo p-e with increase in severity effect sex fibrosis female dose 0 significance female additional sex LOEL study unit LOEL mg/kg transient 7.2 10 timepoint level score 0 significance % n.g. 100 0 female 182 0 female 265 10 minimal n.g. 0 female 547 5.6 minimal n.g. 0 female 730 0 0 female 910 4.1 minimal n.g. n.g. 0 female 910 4.1 minimal n.g. 10 female 182 100 minimal n.g. 10 female 365 15 medium n.g. 10 female 365 75 mild n.g. 10 female 547 15 severe n.g. 10 female 547 75 medium n.g. 10 female 547 10 mild n.g. 10 female 730 100 medium n.g. 10 female 910 60 medium n.g. 10 female 910 36 mild n.g. additional effect sex LOEL study unit bronchiolo-alveolar adenoma female 10 sex timepoint dose LOEL mg/kg transient 7.2 level score significance 0 female 910 0 n.g. 10 female 910 4 none additional 100 sign. increase of incidences and severity of interstitial fibrosis after 6 mo throughout 24 mo exposure mo p-e, effect partly reversible during p-e % 28. Sep. 12 transient 0 additional % LOEL mg/kg % 100 increased incidence of bronchiolo-alveolar adenoma at 24 mo exposure + 6 mo p-e Page 6 from 9 Titanium dioxide effect sex bronchiolo-alveolar adenocarcinoma female % dose sex 10 timepoint significance % n.g. 100 730 0 n.g. 100 910 0.46 n.g. 100 female 547 10 none 10 female 730 11 none 10 female 910 13 <0.05 547 0 female 0 female 10 dose level score LOEL study unit female 10 sex timepoint LOEL mg/kg transient 7.2 level score significance 0 female 91 no change n.a. 0 female 182 no change n.a. 0 female 365 no change n.a. 0 female 547 no change n.a. 0 female 670 no change n.a. 0 female 730 no change 10 female 91 10 female 182 n.a. 10 female 365 n.a. 10 female 547 n.a. 10 female 670 n.a. female 730 n.a. 10 additional % n.a. n.a. accumulation of particle-laden macrophages effect sex squamous cell carcinoma female 10 sex timepoint dose 2826.1 increased incidences of bronchiolo-alveolar adenocarcinoma at 18 mo and 24 of exposure (2/20 and 1/9) throughout 6 mo p-e (13/100), sign. at termination of study sex macrophage infiltration LOEL study unit LOEL mg/kg transient 7.2 significance % 0 female 547 0 n.g. 100 0 female 730 0 n.g. 100 0 female 910 0 n.g. 100 10 female 547 15 none 10 female 730 22 none 10 female 910 3 none additional 28. Sep. 12 transient 0 female effect % LOEL mg/kg 7.2 0 additional n.a. LOEL study unit level score increased incidences of squamous cell carcinoma at 18 mo and 24 of exposure (3/20 and 2/9), lowe incidence at 6 mo p-e (3/100) Page 7 from 9 Titanium dioxide effect sex benign cystic keratinizing squamous-cell tumor female % dose LOEL study unit 10 sex LOEL mg/kg transient 7.2 timepoint significance % 0 n.g. 100 730 0 n.g. 100 910 0 n.g. 100 female 547 10 none 10 female 730 22 none 10 female 910 20 <0.05 0 female 547 0 female 0 female 10 additional level score increased incidences of benign cystic keratinizing squamous-cell tumours at 18 mo and 24 of expos (2/20 and2/9) throughout 6 mo p-e (20/100), sign. at termination of study lymph node effect sex burden mg/organ dose LOEL study unit female 10 sex timepoint LOEL mg/kg transient 7.2 level score significance 0 female 670 0 n.g. 10 female 670 5.75 n.g. additional % 100 burden in LALN nose effect sex atrophy % dose LOEL study unit female 10 sex timepoint 7.2 level score significance % 100 0 female 730 0 n.g. female 730 22.2 n.g. increased incidence of atrophy of respiratory epithelium effect sex squamous cell metaplasia female 10 sex timepoint dose LOEL study unit LOEL mg/kg transient 7.2 significance % 0 female 365 0 n.g. 100 0 female 547 0 n.g. 100 0 female 730 0 n.g. 100 0 female 910 7.7 n.g. 100 10 female 365 5 n.g. 10 female 547 35 n.g. 10 female 730 77.8 n.g. 10 female 910 56 n.g. additional 28. Sep. 12 transient 10 additional % LOEL mg/kg level score 727.27 sign. increase of incidences of squamous cell metaplasia in mucus membranes of nasal cavity and paranasal sinuses at >= 12 mo exposure, effect partly reversible after 24 mo exposure and 6 mo p-e Page 8 from 9 Titanium dioxide effect sex inflammation % female dose sex transient 7.2 10 timepoint level score significance % female 365 4.8 n.g. 100 0 female 547 0 n.g. 100 0 female 730 10 n.g. 100 0 female 910 5.9 n.g. 100 10 female 365 10 n.g. 208.33 10 female 547 35 n.g. 10 female 730 44.4 n.g. 444 10 female 910 30 n.g. 508.47 sign. increase of incidences of inflammative changes in mucus membranes of nasal cavity and paranasal sinuses at >= 12 mo exposure, effect partly reversible after 24 mo exposure and 6 mo p-e effect sex degeneration female dose sex LOEL study unit LOEL mg/kg transient 7.2 10 timepoint significance % 0 n.g. 100 365 9.5 n.g. 100 547 33.3 n.g. 100 female 730 0 n.g. 100 0 female 910 34.4 n.g. 100 10 female 182 30 n.g. 10 female 365 85 n.g. 894.73 10 female 547 95 n.g. 285.28 10 female 730 100 n.g. female 910 59 n.g. 0 female 182 0 female 0 female 0 10 additional 28. Sep. 12 LOEL mg/kg 0 additional % LOEL study unit level score 171.51 sign. increase of incidences of degenerative changes in mucus membranes of nasal cavity and paranasal sinuses at >= 6 mo exposure, effect partly reversible after 24 mo exposure and 6 mo p-e Page 9 from 9 Titanium dioxide molecular weight 79.9 g/mol Study Data study pk 4116 Specification by Producer / Supplier object Primary particle synonym TiO2 particle grade size diameter in nm inner diameter in nm outer diameter in nm length in nm mean SD min max medium determ. method distribution type no data surface property cristal structure rutile shape specific surface in m²/g solubility in mg/l spherical specific volume in m³/g at in °C particle density in g/cm³ additional Titanium dioxide particle grade reference Lee et al., 1985, 1986 producer du Pont Co., Inc. Specification by Authors object Primary particle size diameter in nm mean 250 inner diameter in nm outer diameter in nm length in nm SD min max medium distribution type assumed determ. method no data surface property spherical cristal structure shape specific surface in m²/g solubility in mg/l specific volume in m³/g at in °C particle density in g/cm³ additional refer to pigment-TiO2 --> usually 200-300 nm reference Hydrodynamic diameter median 1600 nm GSD min 28. Sep. 12 distibution type bulk density nm isoelectric point no data mg/ml in Page 1 from 11 Titanium dioxide max nm medium no data determ. method sample treatment zeta potential mV in peak SPR nm in conductivity µS/cm in solubility mg/L in at ºC applic. medium dispersant Ranges of MMAD 1500, 1700 and 1600 nm at LD, MD and HD with respirable fractions (< 13000 nm MMAD) of 78, 89 and 84%, respectively additional Study Design species rat strain CD sex male & female animal/group 71-79 route whole-body age of animal 5w = 0.99 purity exposure in h/d 6 exposure in d/w 5 study dur. in d 730 postexp. dur. in d 0 no. of instillation frequency exposure (additional) dose / concentration whole-body exposure chamber 3,85 qm, nominal conc. 0, 10, 50, and 250 mg/m3; analytical conc. 10,6+- 2,1; 50,3+-8,8; 250,1+- 24,7 mg/m3 0 10.6 50.3 250.1 Unit mg/m³ 1 dose study reliability B confidential additional groups for interim sacrifices after 91 & 182 d (5/sex and group) and 365 d (10/sex and group) corresponding to timepoints of 91, 182, 365, 730 d Ti burden in lung by ICPS after digestion of tissue; burden in other tissues as particle deposition by microscopy additional Reference author volume Lee KP, et al. 41 institution Du Pont Company, Haskell Laboratory Toxicology & Industrial Medicine author Lee KP, et al. source Exp Mol Pathol volume 42 year 1985 institution Du Pont Company, Haskell Laboratory Toxicology & Industrial Medicine author Lee KP, et al. source Toxicol Appl Pharmacol volume 79 year 1985 institution Du Pont Company, Haskell Laboratory Toxicology & Industrial Medicine source year Environ Research 1986 page 144-167 page 331-343 page 179-192 Scope organ animal/group necropsy organ weight histopathology guideline lung 75 additional trachea 28. Sep. 12 total lung (no lavage); histopatho: H&E stain, PAS, trichrome and silver stain; light microscopy, TEM and SEM; Ti burden by ICPS 75 Page 2 from 11 Titanium dioxide nose 75 body weight 100 lymph node 75 additional burden: dust deposition in tracheobronchial lymph nodes, cervical lymph nodes, and in mesenteric lymph nodes by light microscopy 75 additional burden: dust deposition by light microscopy 75 liver spleen additional burden: dust deposition by light microscopy Effect data body weight effect sex weight male & female additional LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient no effect liver effect sex burden male & female % dose sex 10.6 timepoint significance % 0 n.g. 100 730 5.3 n.g. 730 20.4 n.g. 730 56.3 n.g. 0 male & f 730 10.6 male & f 50.3 male & f 250.1 male & f additional 2.544 level score increased incidences of particle deposition (microspcopy) with particle accumulation in Kupffer cells macrophages (no tissue response or damage of hepatocytes) lung effect sex inflammation male & female % dose 10.6 timepoint LOEL mg/kg transient 2.544 level score significance % 0 male 730 1.3 n.g. 100 0 female 730 1.3 n.g. 100 10.6 male 730 10 n.g. 769.23 10.6 female 730 15 n.g. 1153.8 50.3 male 730 11 n.g. 846.15 50.3 female 730 14 n.g. 1076.9 250.1 male 730 9.1 n.g. 700 250.1 female 730 7 n.g. 538.46 additional 28. Sep. 12 sex LOEL study unit increased incidences (%) of broncho/bronchiolar pneumonia Page 3 from 11 Titanium dioxide effect sex weight male & female gram dose sex transient 12.072 level 91 2.4 n.g. 100 female 91 1.9 n.g. 100 male 182 2.5 n.g. 100 0 female 182 1.8 n.g. 100 0 male 365 2.6 n.g. 100 0 female 365 2.2 n.g. 100 0 male 730 3.25 n.g. 100 0 female 730 2.35 n.g. 100 10.6 male 91 2.3 none 95.83 10.6 female 91 1.7 none 89.47 10.6 male 182 2.5 none 100 10.6 female 182 2.2 none 122.22 10.6 male 365 2.7 none 103.84 10.6 female 365 2.2 none 100 10.6 male 730 3.56 none 109.53 male 0 0 score significance % 10.6 female 730 2.76 none 117.44 50.3 male 91 2.4 none 100 50.3 female 91 2 none 105.26 50.3 male 182 3 <0.05 120 50.3 female 182 2.6 <0.05 144.44 50.3 male 365 3.5 <0.05 134.61 50.3 female 365 3.3 <0.05 150 50.3 male 730 4.47 <0.05 137.53 50.3 female 730 3.1 <0.05 131.91 250.1 male 91 3.6 n.g. 150 250.1 female 91 2.8 n.g. 147.36 250.1 male 182 4.4 <0.05 176 250.1 female 182 4.3 <0.05 238.88 250.1 male 365 6.3 <0.05 242.3 250.1 female 365 5.7 <0.05 259.09 250.1 male 730 7.84 <0.05 241.23 250.1 female 730 7.21 <0.05 306.8 sign. dose and time-dependent increases of abs. and rel. wt.: at MD from 6-24 mo of exposure, at H marked increase at 3 mo, sign. from 6-24 mo effect sex macrophages foamy male & female dose sex LOEL study unit 50.3 timepoint LOEL mg/kg transient 12.072 level score significance % 0 male 730 18 n.g. 100 0 female 730 10 n.g. 100 10.6 male 730 27 n.g. 150 10.6 female 730 20 n.g. 200 50.3 male 730 71 n.g. 394.44 50.3 female 730 95 n.g. 950 250.1 male 730 99 n.g. 550 250.1 female 730 100 n.g. 1000 additional 28. Sep. 12 50.3 LOEL mg/kg timepoint 0 additional % LOEL study unit increased incidences (%) of aggregates of foamy alveolar macrophages with densely packed myelin figures after >= 12 mo at MD and after >= 6 mo at HD indicating particle overload (Tab.3) Page 4 from 11 Titanium dioxide effect sex LOEL study unit hyperplasia alveolar type II cells female % dose sex 0 male 730 0 female 730 10.6 male 730 10.6 female 50.3 male 50.3 0 n.g. 100 0 n.g. 100 94 n.g. 730 96 n.g. 730 100 n.g. female 730 100 n.g. 250.1 male 730 100 n.g. 250.1 female 730 100 n.g. sex alveolar bronchiolization male & female score sex LOEL study unit 50.3 timepoint LOEL mg/kg transient 12.072 level score significance % 0 male 730 1.3 n.g. 100 0 female 730 1.3 n.g. 100 10.6 male 730 0 none 0 10.6 female 730 4 n.g. 307.69 50.3 male 730 32 n.g. 2461.5 50.3 female 730 77 n.g. 5923.1 250.1 male 730 82 n.g. 6307.7 250.1 female 730 99 n.g. 7615.4 additional increased incidences (%) of alveolar bronchiolization effect sex deposits male & female dose sex LOEL study unit 50.3 timepoint LOEL mg/kg transient 12.072 level score significance % 0 male 730 9 n.g. 100 0 female 730 2.6 n.g. 100 10.6 male 730 13 n.g. 144.44 10.6 female 730 8 n.g. 307.69 50.3 male 730 75 n.g. 833.33 50.3 female 730 72 n.g. 2769.2 250.1 male 730 97 n.g. 1077.8 250.1 female 730 96 n.g. 3692.3 additional 28. Sep. 12 level increased incidences (%) of alveolar type II cell hyperplasia, minimal effect also seen after 6 and 12 of exposure at >= LD effect % 2.544 % dose timepoint transient significance additional % 10.6 LOEL mg/kg increased incidences of cholesterol granuloma and increased incidences of deposits of cholesterol, granular or fibronous materials, cellular debris Page 5 from 11 Titanium dioxide effect sex fibrosis male & female % dose sex 14 score significance % n.g. 100 0 female 730 3.9 n.g. 100 1.6 female 730 5 none 128.2 10.6 male 730 10 none 71.42 50.3 male 730 65 n.g. 464.28 50.3 female 730 55 n.g. 1410.3 250.1 male 730 99 n.g. 707.14 female 730 99 n.g. 2538.5 increased incidences (%) of collagenized fibrosis, effect also seen at MD after 12 mo exposure, and HD after >= 3 mo exposure sex macrophage damage male & female dose 0 sex male & f LOEL study unit 50.3 timepoint LOEL mg/kg transient 12.072 level 730 score no change significance 50.3 male & f 730 n.a. male & f 730 n.a. degenerative and disintegrated foamy macrophages effect sex alveolar proteinosis male & female dose sex LOEL study unit 50.3 timepoint 0 male 730 0 LOEL mg/kg transient 12.072 level score 0 significance % n.g. 100 100 female 730 0 n.g. 10.6 male 730 0 none 10.6 female 730 0 none 50.3 male 730 51 n.g. 50.3 female 730 61 n.g. 250.1 male 730 97 n.g. 250.1 female 730 96 n.g. additional increased incidences (%) of alveolar proteinosis, effect also seen at MD after 12 mo exposure, and HD after >= 3 mo exposure effect sex changes in organ structure male & female dose 0 250.1 additional % n.a. 250.1 additional 28. Sep. 12 level 730 effect n.a. timepoint transient 12.072 male 250.1 % 50.3 LOEL mg/kg 0 additional n.a. LOEL study unit sex LOEL study unit 250.1 timepoint male & f 730 male & f 730 LOEL mg/kg transient 60.024 level score no change significance % n.a. n.a. alveoli lined with ciliated columnar cells dilated and coalesced to form large multiple cystic spaces w mucinous secretions and dust cells Page 6 from 11 Titanium dioxide effect sex bronchiolo-alveolar adenoma male & female % dose sex 0 male 730 0 60.024 timepoint level score 2.5 significance % n.g. 100 730 0 n.g. 100 male 730 1.4 none 56 10.6 female 730 0 n.g. 50.3 male 730 1.4 none 50.3 female 730 0 n.g. 250.1 male 730 15.6 n.g. 250.1 female 730 17.6 n.g. clearance male & female dose sex LOEL study unit 10.6 timepoint LOEL mg/kg 2.544 level score significance male & f 91 no change n.a. 0 male & f 182 no change n.a. 0 male & f 365 no change n.a. 0 male & f 730 no change 10.6 male & f 91 10.6 male & f 182 n.a. 10.6 male & f 365 n.a. 10.6 male & f 730 n.a. 50.3 male & f 91 n.a. 50.3 male & f 182 n.a. 50.3 male & f 365 n.a. 50.3 male & f 730 n.a. 250.1 male & f 91 n.a. 250.1 male & f 182 n.a. 250.1 male & f 365 n.a. male & f 730 n.a. 250.1 sex collagen male & female 0 n.a. n.a. sex male & f LOEL study unit 50.3 timepoint 730 LOEL mg/kg transient 12.072 level score no change significance % n.a. 50.3 male & f 730 n.a. 250.1 male & f 730 n.a. additional % particle-laden macrophages in alveoli seen at all doses after 3 mo of exposure, effect with dose- and time-response-relationship effect dose 624 transient 0 additional 56 increased incidence (%) at HD sex 28. Sep. 12 transient female effect n.a. 250.1 LOEL mg/kg 10.6 additional n.a. LOEL study unit minute collagen fiber deposition in alveolar walls at MD and HD, sign. collagen fiber deposition in cholesterol granulomas at HD at termination of study; effect not seen at LD Page 7 from 11 Titanium dioxide effect sex burden male & female mg/organ dose sex LOEL study unit 10.6 LOEL mg/kg transient 2.544 timepoint level 91 0.001 n.g. 100 female 91 0.001 n.g. 100 male 182 0.001 n.g. 100 0 female 182 0.001 n.g. 100 0 male 365 0.001 n.g. 100 0 female 365 0.001 n.g. 100 0 male 730 0.001 n.g. 100 0 female 730 0.001 n.g. 100 10.1 female 365 8.7 n.g. 870000 10.6 male 91 2.5 n.g. 250000 10.6 female 91 2.8 n.g. 280000 10.6 male 182 4.8 n.g. 480000 10.6 female 182 4.4 n.g. 440000 10.6 male 365 10.1 n.g. 1E+06 10.6 male 730 20.7 n.g. 2E+06 10.6 female 730 32.3 n.g. 3E+06 50.3 male 91 21.7 n.g. 2E+06 50.3 female 91 16.6 n.g. 2E+06 50.3 male 182 57.3 n.g. 6E+06 50.3 female 182 54 n.g. 5E+06 50.3 male 365 75.6 n.g. 8E+06 50.3 female 365 59.7 n.g. 6E+06 50.3 male 730 118.3 n.g. 1E+07 50.3 female 730 130 n.g. 1E+07 150.1 female 365 381.5 n.g. 4E+07 250.1 male 91 180.8 n.g. 2E+07 250.1 female 91 136.8 n.g. 1E+07 250.1 male 182 275.3 n.g. 3E+07 250.1 female 182 238.6 n.g. 2E+07 250.1 male 365 361.7 n.g. 4E+07 250.1 male 730 784.8 n.g. 8E+07 250.1 female 730 545.8 n.g. 5E+07 0 male 0 0 additional effect score significance % dose- and time-dependent increase of lung burden (mg/lung, detection limit < 0,002 mg/g dry lung); particle overload at HD based on impaired lung clearance after >= 12 mo exposure sex LOEL study unit LOEL mg/kg transient tumor % additional 28. Sep. 12 no effect: single case of large cell anaplastic carcinoma in 1/71 LD m, effect not seen at higher dose in f; effect probably not treatment-dependent Page 8 from 11 Titanium dioxide effect sex squamous cell carcinoma male & female % LOEL study unit 250.1 timepoint LOEL mg/kg transient 60.024 dose sex significance % 0 male 730 level 0 score n.g. 100 0 100 female 730 0 n.g. 10.6 male 730 0 n.g. 10.6 female 730 1.3 n.g. 50.3 male 730 0 n.g. 50.3 female 730 0 n.g. 250.1 male 730 1.3 n.g. 250.1 female 730 17.6 n.g. additional increased incidence (%) in HD f (13/74), single cases in HD m (1/75) and LD f (1/75) lymph node effect sex burden male & female % dose sex LOEL study unit 50.3 timepoint % n.g. 100 730 0 none 730 4.5 n.g. 730 61.2 n.g. 730 10.6 male & f 50.3 male & f 250.1 male & f burden male & female 10 sex timepoint score LOEL study unit LOEL mg/kg transient 2.4 significance % 0 male & f 730 0 n.g. 100 10.6 male & f 730 31.5 n.g. 50.3 male & f 730 78 n.g. 250.1 male & f 730 93.3 n.g. additional sex burden male & female dose level score Increased incidence of particle deposition (microspcopy) in cervical lymph nodes with particle-laden accumulation effect % level Increased incidenceof particle deposition (microspcopy) in mesenteric lymph nodes with particle-lad cell accumulation: slight increase at MD and distinct effect at HD sex dose 12.072 significance male & f effect % transient 0 0 additional LOEL mg/kg 10.6 timepoint LOEL mg/kg transient 2.544 significance % 0 male & f 730 0 n.g. 100 10.6 male & f 730 87.2 n.g. 50.3 male & f 730 96.6 n.g. 250.1 male & f 730 100 n.g. additional sex LOEL study unit level score Increased incidence of particle deposition (microspcopy) in tracheobronchial lymph nodes with partic laden cell accumulation nose 28. Sep. 12 Page 9 from 11 Titanium dioxide effect sex metaplasia male & female % dose sex 10.6 LOEL mg/kg male 730 0 transient 2.544 timepoint 0 level score significance % 10 n.g. 100 female 730 9 n.g. 100 10.6 male 730 37 n.g. 370 10.6 female 730 19 n.g. 211.11 50.3 male 730 27 n.g. 270 50.3 female 730 28 n.g. 311.11 250.1 male 730 58 n.g. 580 female 730 55 n.g. 611.11 250.1 additional increased incidences of anterior squamous metaplasia (%); no increase of posterior squamous metaplasia effect sex rhinitis male & female % LOEL study unit dose sex LOEL study unit 10.6 LOEL mg/kg transient 2.544 timepoint level score significance % 0 male 730 32 n.g. 100 0 female 730 24 n.g. 100 10.6 male 730 80 n.g. 250 10.6 female 730 49 n.g. 204.16 50.3 male 730 66 n.g. 206.25 50.3 female 730 46 n.g. 191.66 250.1 male 730 92 n.g. 287.5 250.1 female 730 86 n.g. 358.33 additional increased incidences of anterior rhinitis (%), no clear dose-response; incidences of posterior rhinitis were not increased in m, increases in f only at LD and HD pleura effect sex inflammation male & female % LOEL study unit 10.6 LOEL mg/kg transient 2.544 dose sex significance % 0 male 730 5.1 n.g. 100 0 timepoint level score female 730 2.6 n.g. 100 10.6 male 730 10 n.g. 196.07 10.6 female 730 9 n.g. 346.15 50.3 male 730 37 n.g. 725.49 50.3 female 730 35 n.g. 1346.2 89 female 730 89 n.g. 3423.1 male 730 71 n.g. 1392.2 250.1 additional increased incidences of pleuritis spleen 28. Sep. 12 Page 10 from Titanium dioxide effect sex burden male & female % dose 10.6 timepoint LOEL mg/kg transient 2.544 significance % 0 male & f 730 0 n.g. 100 10.6 male & f 730 10.6 n.g. 50.3 male & f 730 19.3 n.g. 250.1 male & f 730 67.8 n.g. additional sex LOEL study unit level score increased particle deposition (microspcopy) with particle accumulation mostly in white pulp with occasional aggregates of foamy macrophages (no cellular changes in spleen) trachea effect sex tracheitis male & female % dose 10.6 timepoint LOEL mg/kg transient 2.544 significance % 0 male 730 3 n.g. 100 level score 0 female 730 1.3 n.g. 100 10.6 male 730 76 n.g. 2533.3 10.6 female 730 46 n.g. 3538.5 50.3 male 730 72 n.g. 2400 50.3 female 730 50 n.g. 3846.2 250.1 male 730 79 n.g. 2633.3 250.1 female 730 43 n.g. 3307.7 additional 28. Sep. 12 sex LOEL study unit sign. increase of incidences (%) to similar levels in all dosed m or f, m more sensitive (higher incidences) than f Page 11 from 11 Silver molecular weight 107.9 g/mol Study Data study pk 4114 Specification by Producer / Supplier object Primary particle synonym Silver nanoparticles (self-made) size diameter in nm mean 18.48 SD 1.45 min 6 max 55 inner diameter in nm medium outer diameter in nm TEM (count median diameter) determ. method distribution type no data surface property spherical cristal structure shape specific surface in m²/g solubility in mg/l specific volume in m³/g at in °C particle density in g/cm³ additional length in nm reference Self made: freshly prepared nanoparticles by means of evaporation/condensation with ceramic heater; no-aggregated particles (same technique as for 28 d study of Ji et al., 2007) Sung et al., 2008, 2009 producer Self made: Korea Environment & Merchandise Testing Institute, Korea Specification by Authors object size Primary particle diameter in nm inner diameter in nm outer diameter in nm length in nm mean SD min max medium distribution type determ. method no data surface property cristal structure shape specific surface in m²/g solubility in mg/l specific volume in m³/g at in °C particle density in g/cm³ additional reference Hydrodynamic diameter median nm GSD min 01. Oct. 12 distibution type bulk density nm isoelectric point monodispers mg/ml in Page 1 from 16 Silver max nm medium determ. method differential mobility analyzer and ultrafine condensation particle counter sample treatment zeta potential mV in peak SPR nm in conductivity µS/cm in solubility mg/L in at ºC applic. medium dispersant geometric mean diameter and GSD in aerosol (LD; MD; HD): 18,12 +-1,31 nm; 18,33 +- 1,12 nm; 18,93 +- 1,59 nm additional Study Design species rat strain Sprague-Dawley sex male & female animal/group 10 route whole-body age of animal 8w exposure in h/d 6 exposure in d/w 5 study dur. in d 91 postexp. dur. in d 0 purity no. of instillation frequency exposure (additional) dose / concentration whole-body 1,3 qm exposure chamber; analytical conc.: 48,94+-0,47; 133,19+-1,05; 514,78+3,74 µg/m³; particle conc.: 66400; 1430000; 2850000 particles/cm³; surface area: 1,08; 2,37; 6,61 x109 nm²/cm³; bw m 253 g, f 162 g 0 0.048 0.133 0.515 Unit mg/m³ 1 dose study reliability A confidential Lung function weekly by whole-body plethysmography 40 min after termination of daily exposure; other endpoints on d 90; Study according to OECD guideline 413 (1995) Ag burden by AAS after tissue digestion additional Reference author volume Kim JS, et al. 2 source year Safe Health Work 2011 institution Toxicological Research Center, Hoseo University, Korea author Sung J, et al. source Toxicological Sciences volume 108 year 2009 institution Korea Environment & Merchandise Testing Institute, Korea author Sung J, et al. source Inhalation Toxicology volume 20 year 2008 institution Korea Environment & Merchandise Testing Institute, Korea page 34-38 page 452-461 page 567-574 Scope animal/group organ necropsy organ weight histopathology guideline BALF 4 total protein alveolar macrophages PMN albumin lactate dehydrogenase (LDH) lymphocytes additional 01. Oct. 12 14x3 ml PBS, total lung Page 2 from 16 Silver clinical symptoms additional body weight 10 including food consumption and signs of irritancy 10 lung 6 additional organ weight for left and right lung lobe, no lavage (N=6); lung burden (total lung, no lavage, N=4-5); Histopatho: H&E stain; lung function parameters: tidal and minute volume, respiratory frequency, inspiration and expiration time, peak inspiration and expiration flow 10 additional organ weight for left and right testis 10 testes kidney additional spleen weight of left and right kidney; organ burden (N=4-5 10 liver 10 additional adrenal gland additional heart organ burden (N=3-5) 10 organ weight for left and right adrenal 10 thymus 10 brain 10 additional organ burden (2-5 m and 4-5 f per dose) 10 additional weight and burden of olfactory bulb (N=3-5) 10 additional organ weight for left and right ovary 10 nose ovary haematology hematocrit haemoglobin erythrocyte aggregation partial thromboplastin time Prothrombin time Monocytes basophils eosinophils Lymphocytes Red cell distribution width Neutrophils Reticulocytes Total leukocyte count Platelet count Mean corpuscular haemoglobin conc Mean corpuscular volume Mean corpuscular haemoglobin Platelet volume differential leukocyte count clinical chemistry 10 thyroid gland 10 bladder 10 uterus 10 epididymis 10 seminal vesicle 10 trachea 10 01. Oct. 12 erythrocyte count Page 3 from 16 Silver oesophagus 10 tongue 10 prostate 10 pancreas 10 urine analysis 5 Total protein ß-NAG bone marrow additional femurs: in vivo micronucleus test (OECD GL 474) Effect data adrenal gland effect sex histopathology male & female additional LOEL mg/kg transient LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient no effect effect sex weight male & female additional LOEL study unit no effect BALF effect sex albumin female µg/ml dose sex 0.515 0.11705 timepoint level 8.3 0 male 91 0 score significance % n.g. 100 female 91 9.3 n.g. 100 0.048 male 91 16.5 none 198.79 0.048 female 91 11.3 none 121.5 0.133 male 91 11.8 none 142.16 0.133 female 91 11.8 none 126.88 0.515 male 91 1.8 none 21.68 female 91 37.75 <0.05 405.91 0.515 additional sign. increase in HD f (mean with high SD: 37,75 +- 20,1), however, in HD m a decrease was seen t was sign. compared to LD and MD values effect sex lymphocytes total male & female LOEL study unit LOEL mg/kg transient x10E6 additional 01. Oct. 12 no effect: number of lymphocytes Page 4 from 16 Silver effect sex PMN total male & female LOEL study unit LOEL mg/kg transient LOEL mg/kg transient LOEL mg/kg transient LOEL mg/kg transient x10E6 additional no effect: number of PMN effect sex alveolar macrophages total male & female LOEL study unit x10E6 additional no effect: number of AM effect sex total cells male & female LOEL study unit x10E6 additional effect no effect: total cells sex total protein female µg/ml 0.515 dose sex timepoint 0 male 91 0 female 91 0.048 male 0.048 0.11705 significance % 13.3 n.g. 100 13.9 n.g. 100 91 16.5 none 124.06 female 91 10.4 none 74.82 0.133 male 91 15.1 none 113.53 0.133 female 91 10.9 none 78.41 0.515 male 91 13.8 none 103.75 0.515 female 91 20.33 <0.05 146.25 additional level sex lactate dehydrogenase (LDH) female LOEL study unit 0.515 timepoint LOEL mg/kg transient 0.11705 dose sex 0 male 91 55.3 level 0 female 91 57.3 0.048 male 91 73.4 0.048 female 91 41.8 0.133 male 91 69.1 0.133 female 91 41.8 0.515 male 91 73 0.515 female 91 116.7 additional score sign. increase in HD f; no increase in m effect units/liter (U/l) LOEL study unit score sign. increase of LDH activity in HD f (2fold); no increase in m bladder 01. Oct. 12 Page 5 from 16 Silver effect sex histopathology male & female additional LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient no effect body weight effect sex weight male & female additional no effect bone effect sex histopathology male & female additional no effect bone marrow effect sex micronuclei male & female additional no effect: no increased frequencies of micronucleated polychromatic erythrocytes brain effect sex burden male & female µg/g wet organ dose sex 0.133 LOEL mg/kg transient 0.03023 timepoint level 0 male 91 0.00112 0 score significance % n.g. 100 female 91 0.00066 n.g. 100 0.048 male 91 0.00345 none 308.03 0.048 female 91 0.00409 none 619.69 0.133 male 91 0.00789 <0.01 704.46 0.133 female 91 0.0102 <0.01 1545.5 0.515 male 91 0.0186 <0.01 1660.7 0.515 female 91 0.02 <0.01 3030.3 additional sign. increase of brain burden (Tab.7, 8) effect sex histopathology male & female additional 01. Oct. 12 LOEL study unit LOEL study unit LOEL mg/kg transient no effect Page 6 from 16 Silver effect sex weight male & female additional LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient no effect clinical chemistry effect sex parameters acc. to picklist male & female additional no effect clinical symptoms effect sex food consumption male & female additional no effect: including food consumption epididymis effect sex histopathology male additional LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient no effect haematology effect sex erythrocyte aggregation % female dose sex 0.515 timepoint 0.11705 level score significance % 0 female 91 8 n.g. 100 0.048 female 91 4 none 50 0.133 female 91 19 none 237.5 0.515 female 91 28 <0.01 350 additional sign. increase of % aggregated erythrocytes in HD f heart effect sex weight male & female additional 01. Oct. 12 LOEL study unit LOEL mg/kg transient no effect Page 7 from 16 Silver effect sex histopathology male & female additional LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient no effect kidney effect sex histopathology male & female additional no effect effect sex burden male & female µg/g wet organ dose sex 0.133 0.03023 timepoint level score significance % 0 male 91 0.00085 n.g. 100 0 female 91 0.00094 n.g. 100 0.048 male 91 0.00163 none 191.76 0.048 female 91 0.00261 none 277.65 0.133 male 91 0.00358 <0.01 421.17 0.133 female 91 0.0118 none 1255.3 0.515 male 91 0.00949 <0.01 1116.5 0.515 female 91 0.0377 <0.01 4010.6 additional m more sensitive, sign. increase of kidney burden in f at HD only; however, at MD and HD absolute kidney burdens of f were 3-4 fold higher than in m (Tab.7, 8) effect sex weight male & female additional LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient no effect liver effect sex burden male & female µg/g wet organ dose 0.11705 timepoint level 0 male 91 0.0007 0 score significance % n.g. 100 female 91 0.0009 n.g. 100 0.048 male 91 0.00352 none 502.85 0.048 female 91 0.00455 none 505.55 0.133 male 91 0.0138 none 1971.4 0.133 female 91 0.0121 none 1344.4 0.515 male 91 0.133 <0.01 19000 female 91 0.071 <0.01 7888.9 0.515 additional 01. Oct. 12 sex 0.515 sign. increase at HD only (Tab.7, 8) Page 8 from 16 Silver effect sex hyperplasia male & female % dose level score significance % 0 minimal n.g. 100 0 female 91 30 minimal n.g. 100 0.048 male 91 0 minimal none 0 0.048 female 91 20 minimal none 66.66 0.133 male 91 10 minimal none 33.33 0.133 female 91 40 minimal none 133.33 0.515 male 91 44.4 minimal <0.05 148 0.515 female 91 10 medium <0.05 33.33 female 91 80 minimal <0.05 266.66 sign. increase of incidence of minimal bile-duct hyperplasia at HD sex necrosis female dose sex 0.515 timepoint LOEL mg/kg transient 0.11705 level score significance % 100 0 female 91 0 n.g. female 91 0 none 0.133 female 91 0 none 0.515 female 91 30 <0.05 sign. increase of incidence of single-cell hepatocellular necrosis in HD f (effect not seen in m); multif hyperplasia of minimal grade seen in HD m (11.1%) and control f (20%) and of moderate grade in 1 HD f, effect not seen in other groups effect sex fibrosis female dose 0 0.515 additional sex 0.515 effect female 91 10 sex LOEL study unit 0.515 timepoint LOEL mg/kg score medium significance % n.g. 100 none transient 0.11705 level female 91 0 female 91 10 score medium significance % n.g. 100 none single HD f with mild pigment accumulation together with moderate bile-duct hyperplasia, minimal si cell hepatocyte necrosis, moderate centrilobular fibrosis and moderate multifocal necrosis sex vacuolization level single HD f with moderate centrilobular fibrosis together with moderate bile-duct hyperplasia, minima single-cell hepatocyte necrosis, mild pigment accumulation and moderat multifocal necrosis female additional timepoint transient 0.11705 0 pigmentation 0 0.515 LOEL mg/kg 91 sex dose LOEL study unit female effect male LOEL study unit 0.515 transient 0.11705 sex 0 male 91 0 female 91 0.048 female 91 10 minimal none male 91 11.1 minimal none 0.515 timepoint LOEL mg/kg dose additional 01. Oct. 12 LOEL study unit 0.048 additional % 0.11705 91 effect % timepoint transient male 0.515 % 0.515 LOEL mg/kg 0 additional % sex LOEL study unit level score significance % 0 n.g. 100 0 n.g. 100 single HD m with hepatocellular vacuolation; effect also seen in single LD f but not at other doses, e in f no considered to be substance-dependent Page 9 from 16 Silver effect sex mineralization % male 0.515 LOEL mg/kg sex 0 male 91 0 0.515 male 91 11.1 timepoint level sex granuloma male & female sex LOEL study unit significance % n.g. 100 minimal none timepoint LOEL mg/kg transient level score significance % n.g. 100 minimal none 0 female 91 0 0.048 female 91 20 additional score single HD m with minimal portal mineralization together with minimal bile-duct hyperplasia effect dose transient 0.11705 dose additional % LOEL study unit no effect: 2 LD f with minimal multifocal granuloma, effect not seen at higher doses and not conside to be substance-dependent effect sex weight male & female LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient gram additional no effect lung effect sex thickening male & female % dose 0 0.515 additional sex 0.515 0.11705 timepoint male & f 91 male & f 91 level score no change significance % n.a. n.a. sign. increased incidence of alveolar wall thickening (Tab.9, 10; see inflammation) effect sex weight male & female LOEL study unit LOEL mg/kg transient gram additional 01. Oct. 12 no effect: total wt. (no lavage) Page 10 from 16 Silver effect sex inflammation male & female % dose sex 0.11705 level score significance % 91 20 minimal n.g. 100 0 female 91 30 minimal n.g. 100 0.048 male 91 30 minimal n.g. 150 0.048 female 91 20 minimal n.g. 66.66 0.133 male 91 20 minimal n.g. 100 0.133 female 91 0 minimal n.g. 0 0.515 male 91 89 minimal n.g. 350 0.515 female 91 80 minimal n.g. 266.66 increased incidence of minimal chronic alveolar inflammation including alveolitis, granulomatous lesions, and alveolar wall thickening (Tab.9, 10) sex infiltration male & female dose sex LOEL study unit 0.133 timepoint 0 male 91 0 LOEL mg/kg transient 0.03023 level score significance % 30 minimal n.g. 100 female 91 0 minimal n.g. 100 0.048 male 91 40 minimal n.g. 133.33 0.048 female 91 0 minimal n.g. 0.133 male 91 60 minimal n.g. 0.133 female 91 10 minimal n.g. 0.515 male 91 78 minimal n.g. 0.515 female 91 70 minimal n.g. additional sex tidal volume male & female dose 200 266.66 Minimal perivascular infiltration of mixed cells: m more sensitive, LOEL in f at 0,515 mg/m3 (Tab.9, 1 effect sex LOEL study unit 0.048 timepoint 0 male 21 0 female 0 male 0.048 LOEL mg/kg transient 0.01091 level score significance % 0.265 n.g. 70 0.24 n.g. 100 91 0.305 n.g. 100 male 21 0.225 <0.01 0.97 0.048 female 70 0.22 none 91.66 0.048 male 91 0.275 <0.01 90.16 0.133 male 21 0.21 <0.01 0.91 0.133 female 70 0.21 <0.01 87.5 0.133 male 91 0.265 <0.01 86.88 0.515 male 21 0.195 <0.01 0.84 0.515 female 70 0.195 <0.01 81.25 0.515 male 91 0.26 <0.01 85.24 additional 01. Oct. 12 timepoint transient male effect ml 0.515 LOEL mg/kg 0 additional % LOEL study unit dose-dependent decrease of tidal volume: sign. at single tps, effect more pronounced in m (Fig.3A, Page 11 from 16 Silver effect sex burden male & female µg/g wet organ dose sex timepoint level 91 0.00077 0 score significance % n.g. 100 female 91 0.00101 n.g. 100 0.048 male 91 0.614 none 79740 0.048 female 91 0.296 none 29307 0.133 male 91 5.45 <0.01 707792 0.133 female 91 4.241 <0.01 419901 0.515 male 91 14.65 <0.01 2E+06 female 91 20.59 <0.01 2E+06 sign. dose-dependent increase of total lung burden (no lavage): effect at LD not statistically sign. (Tab.7,8) effect sex peak inspiration flow male & female dose sex LOEL study unit 0.048 LOEL mg/kg timepoint level male 14 1.25 0 female 14 0.048 male 14 0.048 female 14 0.133 male 14 0.133 female 14 0.515 male 14 0.515 female 14 score significance n.g. no change 0.9 % 100 n.a. 72 <0.01 n.a. 1.08 <0.01 86.4 n.a. 0.8 <0.01 64 n.a. dose-dependent decrease of peak inspiration flows in m & f of all groups (partly sign.) (Fig.3C, f not shown) effect sex minute volume male & female dose transient 0.01091 0 additional sex LOEL study unit 0.048 LOEL mg/kg transient 0.01091 timepoint level 0 male 14 27.5 n.g. 100 0 female 28 23 n.g. 100 0 male 49 28 n.g. 100 0.048 male 14 18.5 <0.05 67.27 0.048 female 28 18.5 <0.01 80.43 0.048 male 49 24 <0.01 85.71 0.133 male 14 24 <0.05 87.27 0.133 female 28 18 <0.01 78.26 0.133 male 49 23 <0.01 82.14 0.515 male 14 18 <0.05 65.45 0.515 female 28 15.7 <0.01 68.26 0.515 male 49 20 <0.01 71.42 additional 01. Oct. 12 transient 0.03023 male 0.515 ml/min 0.133 LOEL mg/kg 0 additional ml/s LOEL study unit score significance % dose-dependent decrease of minute volume in m & f of all groups (partly sign.) (Fig.3B, 4B) Page 12 from 16 Silver effect sex granuloma male & female % dose 0 male & f 0.515 LOEL mg/kg transient 0.11705 timepoint level score no change n.a. n.a. male & f 91 no change 0.133 male & f 91 no change 0.515 male & f 91 effect male dose % n.a. n.a. sign. increased incidence of granulomatous lesions (Tab.9, 10; see inflammation) sex macrophage infiltration significance 91 0.048 additional % sex LOEL study unit sex LOEL study unit 0.515 LOEL mg/kg transient 0.11705 timepoint level score significance % 0 male 91 30 minimal n.g. 100 0 female 91 70 minimal n.g. 100 0.048 male 91 50 minimal n.g. 166.66 0.048 female 91 40 minimal n.g. 57.14 0.113 male 91 50 minimal n.g. 166.66 0.133 female 91 40 minimal n.g. 57.14 0.515 male 91 89 minimal n.g. 266.66 0.515 female 91 60 minimal n.g. 85.71 additional minimal accumulation of alveolar macrophages: increased incidence in HD m; no increase in f due t high background incidence (Tab.9, 10) nose effect sex burden male & female µg/g wet organ dose sex 0.515 LOEL mg/kg transient 0.11705 timepoint level score significance % 0 male 91 0.00051 n.g. 100 0 female 91 0.00226 n.g. 100 0.048 male 91 0.00644 none 1262.7 0.048 female 91 0.00743 none 328.76 0.133 male 91 0.0171 none 3352.9 0.133 female 91 0.0138 none 610.61 0.515 male 91 0.0305 <0.01 5980.4 0.515 female 91 0.00328 <0.01 145.13 additional sign. dose-dependent increase in olfactory bulb (Tab.7, 8) effect sex weight male & female additional sex histopathology male & female additional LOEL study unit LOEL mg/kg transient LOEL mg/kg transient no effect: wt. of olfactory bulb effect 01. Oct. 12 LOEL study unit LOEL study unit no effect Page 13 from 16 Silver oesophagus effect sex histopathology male & female additional LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient no effect ovary effect sex weight female additional no effect effect sex histopathology female additional no effect pancreas effect sex histopathology male & female additional no effect prostate effect sex histopathology male additional no effect seminal vesicle effect sex histopathology male additional no effect testes effect sex weight male additional 01. Oct. 12 no effect Page 14 from 16 Silver effect sex histopathology male additional LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient LOEL study unit LOEL mg/kg transient no effect thymus effect sex histopathology male & female additional no effect effect sex weight male & female additional no effect thyroid gland effect sex histopathology male & female additional no effect trachea effect sex histopathology male & female additional no effect urine analysis effect sex protein g/g creatinine male dose sex 0.515 0.11705 timepoint level score significance % 0 male 91 1.89 n.g. 100 0 female 91 3.88 n.g. 100 0.048 male 91 1.58 none 83.59 0.048 female 91 0.9 none 23.19 0.133 male 91 2.39 none 126.45 0.133 female 91 2.93 none 75.51 0.515 male 91 2.57 <0.05 135.97 0.515 female 91 2.26 none 58.24 additional sign. increase of protein in urine in HD m, effect not seen in f due to high mean control value with hig SD uterus 01. Oct. 12 Page 15 from 16 Silver effect sex histopathology female additional 01. Oct. 12 LOEL study unit LOEL mg/kg transient no effect Page 16 from 16